{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:32:27Z","timestamp":1776450747338,"version":"3.51.2"},"reference-count":17,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Objective: To analyze the number and type of complications during mandibular midline distraction.<\/jats:p><jats:p>Materials and Methods: The records of 100 consecutive patients who underwent mandibular midline distraction were evaluated, and complications which occurred up to 2 weeks after surgery were recorded.<\/jats:p><jats:p>Results: Fourteen patients had complications during the distraction period. In four cases the screw of the appliance rotated back between the activations. In three cases the osteotomy had to be repeated because the symphysis did not open; two cases developed scar strictures, in another two a lower incisor fractured. One case developed an abscess, one a mandibular swelling, and one a large gingival recession.<\/jats:p><jats:p>Conclusions: Complications during or shortly after mandibular midline distraction surgery are relatively rare and mostly mild or transient. Only 3% of the patients presented irreversible damage. Thus, mandibular midline distraction appears to be a relatively safe method of expanding the mandible.<\/jats:p>","DOI":"10.2319\/011507-17.1","type":"journal-article","created":{"date-parts":[[2007,8,15]],"date-time":"2007-08-15T16:52:25Z","timestamp":1187196745000},"page":"20-24","source":"Crossref","is-referenced-by-count":25,"title":["Complications during Mandibular Midline Distraction"],"prefix":"10.2319","volume":"78","author":[{"given":"Julia","family":"von Bremen","sequence":"first","affiliation":[{"name":"a Assistant Professor, Department of Orthodontics, University of Giessen, Giesen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Sch\u00e4fer","sequence":"first","affiliation":[{"name":"b Private practice, Department of Oral and Maxillofacial Surgery, Bad Homburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Kater","sequence":"first","affiliation":[{"name":"b Private practice, Department of Oral and Maxillofacial Surgery, Bad Homburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Ruf","sequence":"first","affiliation":[{"name":"c Professor and Head, Department of Orthodontics, University of Giessen, Giesen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1164","reference":[{"key":"2020042120440715700_i0003-3219-078-01-0020-b1","first-page":"353","article-title":"On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity.","volume":"2","author":"Codivilla","year":"1905","journal-title":"Am J Orthop Surg"},{"key":"2020042120440715700_i0003-3219-078-01-0020-b2","first-page":"1","article-title":"The principles of the Ilizarov method.","volume":"48","author":"Ilizarov","year":"1988","journal-title":"Bull Hosp Jt Dis Orthop Inst"},{"key":"2020042120440715700_i0003-3219-078-01-0020-b3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1097\/00003086-198901000-00038","article-title":"The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue preservation.","volume":"238","author":"Ilizarov","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"2020042120440715700_i0003-3219-078-01-0020-b4","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1097\/00003086-198902000-00029","article-title":"The tension-stress effect on the genesis and growth of tissues. Part II. The influence of the rate and frequency of distraction.","volume":"239","author":"Ilizarov","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"2020042120440715700_i0003-3219-078-01-0020-b5","first-page":"323","article-title":"The possibilities offered by our method for lengthening various segments in upper and lower limbs.","volume":"48","author":"Ilizarov","year":"1988","journal-title":"Basic Life Sci"},{"key":"2020042120440715700_i0003-3219-078-01-0020-b6","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1097\/00006534-197305000-00003","article-title":"Mandibular lengthening by gradual distraction. 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