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Revista odontológica mexicana
versão impressa ISSN 1870-199X
Rev. Odont. Mex vol.12 no.1 Ciudad de México Mar. 2008
https://doi.org/10.22201/fo.1870199xp.2008.12.1.15703
Casos clínicos
Distracción mandibular bilateral: Reporte de un caso clínico y revisión de la literatura
Bilateral osteogenic distraction of the mandible: Case report
*Residente de 4to año de la Especialidad de Cirugía Oral y Maxilofacial de la División de Estudios de Postgrado e Investigación de la UNAM.
§Titular del Curso de la Especialidad de Cirugía Oral y Maxilofacial del HRGIZ ISSSTE.
Existen numerosas causas que originan una deficiencia en el desarrollo mandibular (anquilosis temporomandibular, microsomía craneofacial, secuencia de Pierre Robin, síndrome de Treacher Collins, etc.) y otras son desconocidas. La hipoplasia mandibular es una condición conceptualmente sencilla, pero que puede ser difícil de tratar. La distracción osteogénica mandibular ha ganado popularidad como la técnica quirúrgica indicada para el tratamiento de pacientes con hipoplasia mandibular. Ya que se elimina la morbilidad de una zona donadora y la complejidad del procedimiento quirúrgico es menor que el resto de las alternativas. Sin embargo la distracción osteogénica no es un procedimiento que se deberá tomar a la ligera ya que requiere de una cuidadosa planeación. Se presenta un caso de hipoplasia de rama mandibular bilateral en un paciente masculino de 6 años de edad, reportando los datos clínicos, imagenológicos, el plan de tratamiento, el procedimiento quirúrgico utilizando un distractor interno, y su evolución.
Palabras clave: Distracción osteogénica; hipoplasia; rama mandibular
Numerous causes origin a deficient mandibular development (TMJ ankylosis, craniofacial microsomia, Pierre Robin sequence, Treacher Collins syndrome, etc.) and others that are not known. Mandibular hypoplasia is a conceptually easy condition but it can be difficult to treat. Osteogenic distraction of the mandible has gained popularity as the technique indicated for the treatment of patients with mandibular hypoplasia. This is because the morbidity of a donor site is eliminated and the complexity of the surgical procedure is less than in the rest of the alternatives. Nevertheless osteogenic distraction is not a procedure that should be taken lightly as it needs careful planning. We present a case of mandibular ramus hypoplasia in a 6- year-old male patient, reporting the clinical and radiographical data, treatment plan, surgical technique using an internal distractor and his evolution.
Key words: Osteogenic distraction; hypoplasia; mandibular ramus
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