Complications in Mandibular Midline Distraction. Issue 3 (September 2017)

• Record Type: Journal Article
• Authors: de Gijt, Jan Pieter; Gül, Atilla; Wolvius, Eppo B.; van der Wal, Karel G.H.; Koudstaal, Maarten J.
• Is Part Of: Craniomaxillofacial trauma & reconstruction. Volume 10:Issue 3(2017)
• Page Start: 204
• Page End: 207
• Publication Date: 2017-09
• Subjects: mandibular midline distraction -- complications -- Clavien-Dindo -- orthognathic surgery; Face -- Wounds and injuries -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Wounds and injuries -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery; Face -- Wounds and injuries; Maxilla -- Surgery; Maxilla -- Wounds and injuries; Maxillofacial Injuries -- Periodicals; Craniocerebral Trauma -- Periodicals; Reconstructive Surgical Procedures -- methods -- Periodicals; Fulltext; Internet Resources; Periodicals; Periodicals; 617.522
• DOI: 10.1055/s-0037-1600902
• Languages: English
• ISSNs: 1943-3875

Abstract

Mandibular midline distraction (MMD) is a relatively new surgical technique for correction of transverse discrepancies of the mandible. This study assesses the amount and burden of complications in MMD. A retrospective cohort study was performed on patients who underwent MMD between 2002 and 2014. Patients with congenital deformities or a history of radiation therapy in the area of interest were excluded. Patient records were obtained and individually assessed for any complications. Complications were graded using the Clavien-Dindo classification system (CDS). Seventy-three patients were included of which 33 were males and 40 were females. The mean follow-up was 2.1 years. Twenty-nine patients had minor complications, grades I and II. Two patients had a grade IIIa and three patients had a grade IIIb complication. Common complications were pressure ulcers, dehiscence, and (transient) sensory disturbances of the mental nerve. This study shows that although MMD is a relatively safe method, complications can occur. Mostly the complications are mild, transient, and manageable without the need for any reoperation.