Device was used for treatment, not diagnosis.Additional narrative: this report is for two unknown internal distractors/unknown quantity, unknown lot.The investigation could not be completed and no conclusion could be drawn, as no device was returned and no lot number or part number was provided.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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This report is being filed after the subsequent review of the following literature article: van sickels, joseph e., mathew j.Madsen, larry l.Cunningham, and douglas bird."the use of internal maxillary distraction for maxillary hypoplasia: a preliminary report." american association of oral and maxillofacial surgeons: 1715-720.Web.Usa.Over a 5-year period, more than 300 patients with craniofacial and dentofacial defects have undergone oral and maxillofacial surgery at our center to correct their skeletal discrepancies.Of these, 10 have had maxillary distraction osteogenesis done with internal distractors (synthes, (b)(4)).Follow-up of 6 months or more was available for 8 patients.One patient had an unrepaired palate with a large fistula.She had been referred from an alternate service for distraction to decrease the size of the fistula.The proposed plan was to narrow the fistula and correct the maxillary hypoplasia.The size of the fistula was decreased, but control of the 2 freely movable segments was difficult and the maxilla was not advanced the desired amount.This report 1 of 3 for (b)(4).This report is for unknown internal distractors.
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