Monday, October 19, 2020

Neonatal Mandibular Distraction Osteogenesis in Infants With Pierre Robin Sequence.

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Neonatal Mandibular Distraction Osteogenesis in Infants With Pierre Robin Sequence.

J Craniofac Surg. 2020 Jun;31(4):1137-1141

Authors: Diep GK, Eisemann BS, Flores RL

Abstract
Pierre Robin sequence is the constellation of micrognathia, glossoptosis, and tongue-based airway obstruction. When airway obstruction is severe, feeding, growth, and respiratory demise are at risk. Neonatal mandibular distraction osteogenesis is a technique which improves tongue-based airway obstruction and avoids tracheostomy in patients with severe expressions of Pierre Robin sequence. Its efficacy in relieving airway obstruction is well documented, and it has become the surgical intervention of choice at many craniofacial centers. However, this is an uncommon procedure which can be performed within the first weeks of life, offering little space for a learning curve. The success of neonatal distraction and avoidance of complications is highly dependent on proper surgical technique. This report provides a brief overview of the disease, details the technique of the senior surgeon with captioned videos, describes the protocol used at our institution and reports long-term outc omes with a case description.

PMID: 32209938 [PubMed - indexed for MEDLINE]

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