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Distraction osteogenesis is a surgical technique of new bone formation between the osteotomized bone segments with the help of gradual incremental traction. As distraction osteogenesis is slow biologic process, soft tissue changes gradually follow the new bone formation. Mandibular distraction is one of the accepted modalities to treat the triad of TMJ ankylosis, obstructive sleep apnoea micrognathia and also for facial asymmetry cases like hemifacial microsomia, mandibular hypoplasia etc. After the distraction osteogenesis, some