Installing an original sleeve for rod unaccessible pain from a distraction device in a hemifacial microsomia patient

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1 Citation (Scopus)

Abstract

Introduction Lengthening of the mandible by distraction osteogenesis using an internal device is the preferred method for the treatment of hemifacial microsomia. Despite its advantages, this technique can lead to various complications after the surgery. Presentation of case We report the case of an 8-yr-old Japanese girl whose case presented practical difficulties in device activation because of rod unaccessible pain after the initial mandibular distraction with an internal device, and this complication was addressed with the installation of an original sleeve. Discussion In the present patient, the region of the bend rod was located at the inferior border of the right mandible, causing rod unaccessible pain by contacting the surrounding tissue including a sensory nerve. Careful vertical ramus distractor position planning and tools to resolve complications are the key factors for accomplishing the scheduled elongation. Conclusion Alternative techniques using a sleeve for safer and gentle distraction for rod unaccessible pain on activation should be considered.

Original languageEnglish
Pages (from-to)137-139
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume12
DOIs
Publication statusPublished - Jun 13 2015

Fingerprint

Goldenhar Syndrome
Mandible
Pain
Equipment and Supplies
Distraction Osteogenesis
Therapeutics

Keywords

  • Distraction osteogenesis
  • Hemifacial microsomia
  • Original sleeve

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Installing an original sleeve for rod unaccessible pain from a distraction device in a hemifacial microsomia patient",
abstract = "Introduction Lengthening of the mandible by distraction osteogenesis using an internal device is the preferred method for the treatment of hemifacial microsomia. Despite its advantages, this technique can lead to various complications after the surgery. Presentation of case We report the case of an 8-yr-old Japanese girl whose case presented practical difficulties in device activation because of rod unaccessible pain after the initial mandibular distraction with an internal device, and this complication was addressed with the installation of an original sleeve. Discussion In the present patient, the region of the bend rod was located at the inferior border of the right mandible, causing rod unaccessible pain by contacting the surrounding tissue including a sensory nerve. Careful vertical ramus distractor position planning and tools to resolve complications are the key factors for accomplishing the scheduled elongation. Conclusion Alternative techniques using a sleeve for safer and gentle distraction for rod unaccessible pain on activation should be considered.",
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author = "Tsuyoshi Shimo and Akiyoshi Nishiyama and Norie Yoshioka and Akira Sasaki",
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AU - Shimo, Tsuyoshi

AU - Nishiyama, Akiyoshi

AU - Yoshioka, Norie

AU - Sasaki, Akira

PY - 2015/6/13

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N2 - Introduction Lengthening of the mandible by distraction osteogenesis using an internal device is the preferred method for the treatment of hemifacial microsomia. Despite its advantages, this technique can lead to various complications after the surgery. Presentation of case We report the case of an 8-yr-old Japanese girl whose case presented practical difficulties in device activation because of rod unaccessible pain after the initial mandibular distraction with an internal device, and this complication was addressed with the installation of an original sleeve. Discussion In the present patient, the region of the bend rod was located at the inferior border of the right mandible, causing rod unaccessible pain by contacting the surrounding tissue including a sensory nerve. Careful vertical ramus distractor position planning and tools to resolve complications are the key factors for accomplishing the scheduled elongation. Conclusion Alternative techniques using a sleeve for safer and gentle distraction for rod unaccessible pain on activation should be considered.

AB - Introduction Lengthening of the mandible by distraction osteogenesis using an internal device is the preferred method for the treatment of hemifacial microsomia. Despite its advantages, this technique can lead to various complications after the surgery. Presentation of case We report the case of an 8-yr-old Japanese girl whose case presented practical difficulties in device activation because of rod unaccessible pain after the initial mandibular distraction with an internal device, and this complication was addressed with the installation of an original sleeve. Discussion In the present patient, the region of the bend rod was located at the inferior border of the right mandible, causing rod unaccessible pain by contacting the surrounding tissue including a sensory nerve. Careful vertical ramus distractor position planning and tools to resolve complications are the key factors for accomplishing the scheduled elongation. Conclusion Alternative techniques using a sleeve for safer and gentle distraction for rod unaccessible pain on activation should be considered.

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