MIDFACE DISTRACTION OSTEOGENESIS: A CASE REPORT

Abstract

Treatment of midface hypoplasia in an adult patient is always a challenge. Rapid advances in orthognathic surgery have now made it possible to treat severe dentofacial deformities that were once only managed by orthodontic camouflage1. These cases were often compromised with unacceptable facial esthetics and unstable occlusal results. Over the past 25 years, there have been numerous advancements in technology and the surgical management of maxillary hypoplasia.A number of surgical options for the treatment of midface hypoplasia are available but with certain limitations. Conventional osteotomies (Lefort 1 osteotomy2, extended Lefort 1 osteotomies, and quadrangular midface osteotomies and even at higher levels involving Lefort II and III advancements) to correct severe craniofacial anomalies require long hospital stays, are at risk for infection and relapse, and the discomfort for the patient can be great.