Treatment of airway obstruction with mandibular distraction osteogenesis in Pierre Robin syndrome.
- Author:
Wei-min SHEN
1
;
Jie CUI
;
Jian-bing CHEN
;
Ji-jun ZOU
;
Yi JI
;
Shun-rong WANG
;
Hai-ni CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Airway Obstruction; surgery; Female; Humans; Infant, Newborn; Male; Osteogenesis, Distraction; Pierre Robin Syndrome; surgery
- From: Chinese Journal of Plastic Surgery 2010;26(1):4-7
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the feasibility of mandibular distraction osteogenesis (MDO) in the treatment of airway obstruction in Pierre Robin syndrome (PRS).
METHODSFrom 2007 to 2009, 8 newborns with PRS were treated with MDO. The mandibular distractors were fixed after bilateral oblique mandibular osteotomy. The distraction was started one day after operation, three times a day. The distraction distance was 1.2 mm per day until it reached about 12 -20 mm (mean 15 mm).
RESULTSThe distraction was successfully completed in 8 cases with no complication. The distraction distance reached 15 mm, as we expected. The discontinuity cyanosis, inspiratory dyspnea, dystithia were improved after distraction.
CONCLUSIONSMDO is feasible and safe for the treatment of airway obstruction in PRS.