A critical analysis of the management of craniofacial microsomia

Distraction osteogenesis was introduced into the management of craniofacial microsomia some decades ago. It assumed almost instant popularity without evidence of advantage. Poor long-term results and high rates of relapse prove this technique is unsuitable for all but the most carefully selected pat...

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Main Author: David John David AC
Format: Article
Language:English
Published: Australian Society of Plastic Surgeons 2018-03-01
Series:Australasian Journal of Plastic Surgery
Online Access:https://doi.org/10.34239/ajops.v1i1.63
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author David John David AC
author_facet David John David AC
author_sort David John David AC
collection DOAJ
description Distraction osteogenesis was introduced into the management of craniofacial microsomia some decades ago. It assumed almost instant popularity without evidence of advantage. Poor long-term results and high rates of relapse prove this technique is unsuitable for all but the most carefully selected patients. While innovation and technological advances are to be celebrated, it is vital that new procedures are rigorously tested against current protocols. It is also imperative, that thorough knowledge of disease pathology and pathogenesis are applied against new procedures. It is the view of the author that many painful, useless operations would be avoided if surgeons better understood these key fundamentals. Furthermore, there must be clear guidelines for the introduction of new techniques and devices, and this must happen independently of manufacturers.
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institution Kabale University
issn 2209-170X
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publishDate 2018-03-01
publisher Australian Society of Plastic Surgeons
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series Australasian Journal of Plastic Surgery
spelling doaj-art-a22c22e9604b414a9a4d8780bfe6e0d82025-08-20T03:45:27ZengAustralian Society of Plastic SurgeonsAustralasian Journal of Plastic Surgery2209-170X2018-03-011110.34239/ajops.v1i1.63A critical analysis of the management of craniofacial microsomiaDavid John David ACDistraction osteogenesis was introduced into the management of craniofacial microsomia some decades ago. It assumed almost instant popularity without evidence of advantage. Poor long-term results and high rates of relapse prove this technique is unsuitable for all but the most carefully selected patients. While innovation and technological advances are to be celebrated, it is vital that new procedures are rigorously tested against current protocols. It is also imperative, that thorough knowledge of disease pathology and pathogenesis are applied against new procedures. It is the view of the author that many painful, useless operations would be avoided if surgeons better understood these key fundamentals. Furthermore, there must be clear guidelines for the introduction of new techniques and devices, and this must happen independently of manufacturers.https://doi.org/10.34239/ajops.v1i1.63
spellingShingle David John David AC
A critical analysis of the management of craniofacial microsomia
Australasian Journal of Plastic Surgery
title A critical analysis of the management of craniofacial microsomia
title_full A critical analysis of the management of craniofacial microsomia
title_fullStr A critical analysis of the management of craniofacial microsomia
title_full_unstemmed A critical analysis of the management of craniofacial microsomia
title_short A critical analysis of the management of craniofacial microsomia
title_sort critical analysis of the management of craniofacial microsomia
url https://doi.org/10.34239/ajops.v1i1.63
work_keys_str_mv AT davidjohndavidac acriticalanalysisofthemanagementofcraniofacialmicrosomia
AT davidjohndavidac criticalanalysisofthemanagementofcraniofacialmicrosomia