Experience of using one-stage bidirectional maxillary distraction in the adolescent patient

Management of adolescent patients with maxillary micrognathia requires complex orthodontic and surgical treatment. However, the surgical stage of treatment is a step that, according to the authors, requires certain optimization. For this purpose, the authors developed a compression-distraction device for distraction of the maxilla in the sagittal plane. The design of this device allows the parallel use of a palatal compression-distraction device for simultaneous distraction of the maxilla in the transverse plane. This allows achieving the planned sagittal and transverse sizes of the maxilla in adolescents without the use of uncomfortable face masks or the need to wait for maturity to perform conventional orthognathic surgery. This clinical case study demonstrates the technique of bidirectional simultaneous maxillary distraction in two planes in the adolescent patient.
Keywords: maxillary micrognathia, maxillary distraction, compression-distraction device
Conflicts of interest. The authors have no conflicts of interest to declare.
Financing. The paper was done without sponsorship.