{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T05:20:00Z","timestamp":1741238400714,"version":"3.38.0"},"reference-count":42,"publisher":"JLE","issue":"3","license":[{"start":{"date-parts":[[2018,9,26]],"date-time":"2018-09-26T00:00:00Z","timestamp":1537920000000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/www.edpsciences.org\/en\/authors\/copyright-and-licensing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Fr"],"accepted":{"date-parts":[[2018,4,5]]},"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>\n\t\t\t\t\t<jats:bold>Introduction :<\/jats:bold> L\u2019objectif de cette revue de la litt\u00e9rature est d\u2019\u00e9valuer le rapport b\u00e9n\u00e9fice\/risque de la distraction osseuse symphysaire. <jats:bold>Materiels et methodes :<\/jats:bold> Les essais cliniques randomis\u00e9s, les s\u00e9ries de cas s\u2019int\u00e9ressant \u00e0 la distraction osseuse symphysaire, dont l\u2019\u00e9chantillon de patients est sup\u00e9rieur ou \u00e9gal \u00e0 dix, ont \u00e9t\u00e9 recherch\u00e9s sur Pubmed\/Medline et Cochrane sur les vingt derni\u00e8res ann\u00e9es. <jats:bold>Resultats :<\/jats:bold> Sur les 92 articles trouv\u00e9s, 25 articles r\u00e9pondaient aux crit\u00e8res d\u2019inclusion. Un essai contr\u00f4l\u00e9 a \u00e9t\u00e9 retenu, mais aucun essai contr\u00f4l\u00e9 randomis\u00e9. Les autres \u00e9tudes sont toutes des s\u00e9ries de cas, seize de nature r\u00e9trospective, huit de nature prospective. Les distracteurs \u00e0 ancrage osseux ou hybrids entra\u00eeneraient davantage de complications d\u2019ordre parodontal et infectieux, ceci s\u2019expliquant par la position vestibulaire du v\u00e9rin. Les complications pr\u00e9sentent, pour la plupart, un caract\u00e8re b\u00e9nin, la plus difficile \u00e0 g\u00e9rer restant la fracture du dispositive de distraction. La distraction osseuse symphysaire accro\u00eet la dimension transversal de fa\u00e7on efficace, fiable et durable et, para\u00eet-il, sans effets d\u00e9l\u00e9t\u00e8res d\u00e9montr\u00e9s sur les ATM, et ce pour les trois types de distracteurs. <jats:bold>Discussion :<\/jats:bold> Le dispositif \u00e0 appui dento-port\u00e9 est \u00e0 pr\u00e9coniser dans la majorit\u00e9 des cas, compte tenu de son ratio b\u00e9n\u00e9fice\/risque. De plus, il ne n\u00e9cessite pas de seconde intervention chirurgicale pour son retrait. <jats:bold>Conclusion :<\/jats:bold> La distraction osseuse symphysaire serait une th\u00e9rapeutique fiable, dont les limites exactes et la reproductibilit\u00e9 restent encore \u00e0 d\u00e9finir \u00e0 la lumi\u00e8re de futures \u00e9tudes prospectives.<\/jats:p>","DOI":"10.1051\/orthodfr\/2018026","type":"journal-article","created":{"date-parts":[[2018,9,26]],"date-time":"2018-09-26T08:54:08Z","timestamp":1537952048000},"page":"259-277","source":"Crossref","is-referenced-by-count":2,"title":["Distraction osseuse symphysaire (volet 1) : rapport b\u00e9n\u00e9fice \/ risque. 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