No Evidence for Long-Term Effectiveness of Early Osteodistraction in Hemifacial Microsomia

作者：Nagy Krisztian; Kuijpers Jagtman Anne Marie; Mommaerts Maurice Y^*

来源：Plastic and Reconstructive Surgery, 2009, 124(6): 2061-2071.

DOI：10.1097/PRS.0b013e3181bcf2a4

Background: The authors performed a critical literature review to find evidence of the long-term stability after early distraction osteogenesis of the mandible in patients with hemifacial microsomia.
Methods: The PubMed, Cochrane, MEDLINE, EMBASE, CENTRAL, and CINAHL databases were searched systematically for studies performed between 2002 and 2008. Abstracts from the 89 relevant articles were reviewed for evidence.
Results: Thirteen articles met the inclusion criteria. Data were tabulated with respect to the length of follow-up, number of patients, age group, Pruzansky-Kaban classification of the patients, methods of analysis and validation, and level of evidence. Methods for long-term follow-up studies were not standardized, and no objective studies have been published on stability after growth cessation.
Conclusions: Thus far, no randomized controlled trials on early distraction osteogenesis in hemifacial microsomia patients have been published. The authors conclude that there is a lack of statistical evidence to support the use of early distraction osteogenesis for correcting hemifacial microsomia as a single treatment modality. The results call into question its rationale. (Plast. Reconstr. Surg. 124: 2061, 2009.)

• 出版日期2009-12