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Commentary
November 2005

Limitations of Distraction Osteogenesis in Children

Arch Facial Plast Surg. 2005;7(6):405. doi:10.1001/archfaci.7.6.405

Tibesar et al1 have published an exciting, innovative study in this issue of the Archives in which distraction osteogenesis (DO) was used to close surgically created cleft palates in adult dogs. Current palatoplasty techniques result in inhibition of facial growth requiring orthognathic surgery in approximately 25% of patients. The use of DO to close clefts of the palate is an attempt to reduce the forces that commonly result in decreased midfacial growth. Nonetheless, this study has many limitations and should be regarded as a feasibility study.

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