Abstract
Distraction osteogenesis represents the greatest single development in craniofacial surgery during the past 10 to 15 years. The technique appears to hold great potential in the management of a variety of craniofacial deformities. This review will cover developments in the basic sciences underlying the process of distraction osteogenesis. Studies that have emerged in the past 2 years covering applications in the mandible, midface, and upper facial skeleton and the role of distraction in managing pediatric upper airway obstruction will be presented. Results with longer follow-up periods are now appearing and authors are beginning to better define the details of preoperative planning. Finally, we will mention the new directions in which this exciting technology may head.