Osteogénesis de la distracción
Bone Alargamiento en Manteca
Distraction osteogenesis (DO) es un método relativamente nuevo de tratamiento de las deformidades y defectos de la mandíbula y el cráneo seleccionados. A pesar de que se utilizó por primera vez en 1903, en la década de 1950 el cirujano ortopédico ruso, Dr. Gabriel Ilizarov, perfeccionado lentamente el manejo quirúrgico y postoperatorio del tratamiento de osteogénesis de distracción para corregir deformidades y defectos de reparación en los brazos y las piernas. His work went mostly unnoticed until he presented to the Western Medical Society in the mid-1960s.
La osteogénesis por distracción se usó primero para tratar defectos de la región oral y facial en 1990. Since then, los avances quirúrgicos y tecnológicos realizados en el campo de la osteogénesis por distracción han proporcionado a los cirujanos orales y maxilofaciales con un método seguro y predecible a deformidades convite seleccionado.
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Frequently Asked Questions About Distraction Osteogenesis
- What does the term distraction osteogenesis mean?
- Is the surgery for distraction osteogenesis more involved than “traditional surgery” for a similar procedure?
- Will my insurance company cover the cost of osteogenesis surgical procedure?
- Is distraction osteogenesis painful?
- What are the benefits of distraction osteogenesis vs. traditional surgery for a similar condition?
- What are the disadvantages of distraction osteogenesis?
- Can distraction osteogenesis be used instead of bone grafts to add bone to my jaws?
- Does distraction osteogenesis leave scars on the face?
- Are there any age limitations for patients who can receive osteogenesis?
What does the term distraction osteogenesis mean?
Simply stated, distraction osteogenesis means the slow movement apart (distraction) de dos segmentos óseos, de tal manera que se permite que el hueso nuevo a crecer y llenar el hueco creado por los segmentos óseos que separan.
Is the surgery for distraction osteogenesis more involved than “traditional surgery” for a similar procedure?
No. Distraction osteogenesis surgery is usually done on an outpatient basis with most of the patients going home the same day of surgery. The surgical procedure itself is less invasive so there is usually less pain and swelling.
Will my insurance company cover the cost of osteogenesis surgical procedure?
Most insurance companies will cover the cost of the osteogenesis surgical procedure provided that there is adequate and accurate documentation of the patient’s condition. Por supuesto, individual benefits within the insurance company policy vary. After you are seen for your consultation at our office, we will assist you in determining whether or not your insurance company will cover a particular surgical procedure.
Is distraction osteogenesis painful?
Dado que los procedimientos quirúrgicos todo de osteogénesis de distracción se hacen mientras el paciente está bajo anestesia general, pain during the surgical procedure is not an issue. Postoperatively, you will be supplied with appropriate analgesics (pain killers) to keep you comfortable, and antibiotics to fight off infection. La activación del dispositivo de distracción para separar lentamente los huesos puede causar molestias leves. En general, el movimiento lento de segmentos óseos produce molestias más o menos similar a tener abrazaderas apretadas.
What are the benefits of distraction osteogenesis vs. traditional surgery for a similar condition?
Distraction osteogenesis surgical procedures typically produce less pain and swelling than the traditional surgical procedure for a similar condition. La osteogénesis por distracción elimina la necesidad de un segundo sitio quirúrgico para material de injerto óseo cosecha. Finalmente, distraction osteogenesis is associated with greater stability when used in major cases where significant movement of bony segments are involved.
What are the disadvantages of distraction osteogenesis?
Distraction osteogenesis requires the patient to return to the surgeon’s office frequently during the initial two weeks after surgery. This is necessary because in this time frame the surgeon will need to closely monitor the patient for any infection and teach the patient how to activate the appliance. En algunos casos, a second minor office surgical procedure is necessary to remove the distraction appliance.
Can distraction osteogenesis be used instead of bone grafts to add bone to my jaws?
si. Los recientes avances en la tecnología han proporcionado el cirujano oral y maxilofacial con un dispositivo de distracción que puede ser utilizado a crecer lentamente hueso en áreas seleccionadas de la pérdida de hueso que se ha producido en las mandíbulas superior e inferior. The newly formed bone can then serve as an excellent foundation for dental implants.
Does distraction osteogenesis leave scars on the face?
No. The entire surgery is performed within the mouth and the distraction devices used by Dr. Veeranki o Dr. Vander Beek remain inside the mouth. No hay incisiones quirúrgicas faciales hechas, por lo tanto, sin cicatrices faciales resultan.
Are there any age limitations for patients who can receive osteogenesis?
No. La osteogénesis por distracción funciona bien en pacientes de todas las edades. En general, the younger the patient the shorter the distraction time and the faster the consolidation phase. Adults require slightly longer period of distraction and consolidation because the bone regenerative capabilities are slightly slower than those of adolescence or infants.
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