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Craniofacial Distraction Osteogenesis Workup

  • Author: Mario J Imola, MD, DDS, FRCS, FACS, FRCSC; Chief Editor: Arlen D Meyers, MD, MBA  more...
Updated: Nov 17, 2015

Imaging Studies

The workup for patients under consideration for craniofacial distraction can include several imaging studies. All patients require careful clinical assessment and photographic documentation of their condition. Frontal and lateral cephalograms and a mandibular Panorex view are obtained in virtually all patients. Three-dimensional CT scanning is also useful. Stereolithographic acrylic models provide a life-size 3-dimensional reproduction of the facial skeleton and are the ultimate method to study the deformity. Their cost and limited availability presently constrain widespread use.

Contributor Information and Disclosures

Mario J Imola, MD, DDS, FRCS, FACS, FRCSC Consulting Staff, Department of Otolaryngology-Head and Neck Surgery, Center for Craniofacial and Skull Base Surgery, Colorado Facial Plastic Surgery

Mario J Imola, MD, DDS, FRCS, FACS, FRCSC is a member of the following medical societies: AO Foundation, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate-Craniofacial Association, American Head and Neck Society, The Triological Society, American Medical Association, Canadian Academy of Facial Plastic and Reconstructive Surgery, Canadian Society of Otolaryngology-Head & Neck Surgery, College of Physicians and Surgeons of Ontario, Colorado Medical Society, North American Skull Base Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

David W Stepnick, MD Associate Professor, Departments of Otolaryngology-Head & Neck Surgery and Plastic Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center

David W Stepnick, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, Society of University Otolaryngologists-Head and Neck Surgeons, American College of Surgeons

Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Head and Neck Society

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Cerescan;RxRevu;SymbiaAllergySolutions<br/>Received income in an amount equal to or greater than $250 from: Symbia<br/>Received from Allergy Solutions, Inc for board membership; Received honoraria from RxRevu for chief medical editor; Received salary from Medvoy for founder and president; Received consulting fee from Corvectra for senior medical advisor; Received ownership interest from Cerescan for consulting; Received consulting fee from Essiahealth for advisor; Received consulting fee from Carespan for advisor; Received consulting fee from Covidien for consulting.

Additional Contributors

Jaime R Garza, MD, DDS, FACS Consulting Staff, Private Practice

Jaime R Garza, MD, DDS, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, Texas Medical Association, Texas Society of Plastic Surgeons

Disclosure: Received none from Allergan for speaking and teaching; Received none from LifeCell for consulting; Received grant/research funds from GID, Inc. for other.

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Intraoperative photographs of distractor placement.
Typical airway changes after mandibular distraction.
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