Complication rates and associated factors in alveolar distraction osteogenesis: a comprehensive review

Saulacic, N; Zix, J; Iizuka, T (2009). Complication rates and associated factors in alveolar distraction osteogenesis: a comprehensive review. International journal of oral & maxillofacial surgery, 38(3), pp. 210-7. Maryland Heights, Mo.: Elsevier 10.1016/j.ijom.2009.01.002

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Despite its growing popularity, alveolar distraction osteogenesis (DO) is a technically challenging operation. The purpose of this review is to estimate the types and frequencies of complications in alveolar DO and to identify factors associated with them. 26 reports of alveolar DO found in the PubMed database that met the criteria for inclusion were studied. 256 patients underwent 270 DO procedures; 109 complications arose in 77 patients (30%) with 77 distractions (29%). In 27/77 patients, more than 1 complication occurred. 20 complications (7%) were a consequence of surgery, 32 (12%) occurred during distraction, 22 (8%) during the consolidation period and 35 (13%) post-distraction. The most common complications were insufficient bone formation following the consolidation period (22 cases, 8%), regression of distraction distance (18 cases, 7%) and problems related to the distractor device (16 cases, 6%). The most severe complications occurred in 4 cases (2%). The type of device used and an augmentation rate of more than 0.5 mm/24 h were significantly related to insufficient bone formation and evidence of complications. This review indicates that complications in alveolar DO are frequent, but rarely cause severe problems or clinical decline. Appropriate treatment selection, surgical technique and adjusted protocol should decrease the number of complications.

Item Type:	Journal Article (Further Contribution)
Division/Institute:	04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery
UniBE Contributor:	Saulacic, Nikola, Zix, Jürgen, Iizuka, Tateyuki
ISSN:	0901-5027
ISBN:	19223153
Publisher:	Elsevier
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 15:05
Last Modified:	05 Dec 2022 14:20
Publisher DOI:	10.1016/j.ijom.2009.01.002
PubMed ID:	19223153
Web of Science ID:	000264629000002
URI:	https://boris.unibe.ch/id/eprint/28151 (FactScience: 117602)