Midface distraction is a technique where the upper jaw, cheeks, nose and orbital rims are moved forward to correct their underdevelopment. When needed, the forehead can also be moved forward. Using a technique called facial bipartition, a flatness of the face or forehead can also be corrected at the same time.
Distraction of the midface has been made possible by utilizing internal devices, as well as external devices for the gradual advancement of the face with new bone formation in the gaps. This technique, generically called distraction osteogenesis, is most beneficial in children with syndromic craniosynostoses such as Apert syndrome, Crouzon syndrome and Pfeiffer syndrome.
Because of their extensive experience with the technologies and techniques of midface distraction, our surgeons see children from around the world for treatment of these very complex problems.
Other children who may benefit from midface distraction include those with cleft lip and palate who have severely recessed upper jaws. Our pediatric craniofacial plastic surgeons have experience with most of the commercially available devices. In addition they have been developers of some of the more popular internal devices used throughout the world. Dr. Steven R. Cohen developed one of the first internal metallic systems, the MID system carried by Stryker-Leibinger, Inc. Dr. Cohen and Dr. Ralph E. Holmes also developed the first biodegradable distraction device, working closely with the development team at MacroPore, Inc. in San Diego.
Midface Distraction Patient 1: Before and After
Midface Distraction Patient 2: Before and After
- Craniofacial Services
7920 Frost St., Ste 200
San Diego, CA 92123
- For Information: 858-576-1700, ext. 4255
For Appointments: 858-966-5999, option 6
- Fax: 858-634-4291