Mandibular distraction osteogenesis for severe airway obstruction in Robin Sequence. Case report

被引:19
作者
Iatrou, Ioannis [1 ]
Theologie-Lygidakis, Nadia [1 ]
Schoinohoriti, Ourania [1 ]
机构
[1] Univ Athens, Dept Oral & Maxillofacial Surg, A&P Kyriakou Childrens Hosp, Athens 11471, Greece
关键词
Robin sequence; mandibular distraction osteogenesis; airway obstruction; ROBIN; PIERRE SEQUENCE; MANAGEMENT; STRATEGY; INFANTS;
D O I
10.1016/j.jcms.2009.10.019
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Mandibular distraction osteogenesis (MDO) has been increasingly gaining interest over the last decade as a treatment alternative for the challenging airway management in infants with the Robin Sequence (RS). This paper is a case report of a male child diagnosed with RS, suffering from life-threatening airway obstruction and feeding difficulties, treated with tracheostomy and gastrostomy since infancy. After evaluation of the patient by a multidisciplinary team of specialists, MDO performed as soon as possible, was considered the optimal treatment, not only to address the severe micrognathia but also to allow early tracheal decannulation. As the lack of space intraorally contraindicated the use of internal distractors, they were placed externally bilaterally. The patient was successfully decannulated 3 weeks postoperatively and the gastrostomy was removed 1 month postoperatively. The mandibular expansion exceeded 20 mm bilaterally and the maxilla-mandible discrepancy was fully corrected. There were no complications related to device placement, activation or removal. Follow-up clinical and radiographic examinations of the patient 1 year after the removal of the distractors revealed improved mandibular projection and continued mandibular growth. No significant scarring occurred at the surgical site and the patient has normal respiratory and feeding function. (C) European Association for Cranio-Maxillo-Facial Surgery.
引用
收藏
页码:431 / 435
页数:5
相关论文
共 32 条
[1]  
Burstein FD, 2005, PLAST RECONSTR SURG, V115, P61, DOI 10.1097/01.PRS.0000145794.01442.64
[2]   Resorbable distraction of the mandible: Technical evolution and clinical experience [J].
Burstein, Fernando D. .
JOURNAL OF CRANIOFACIAL SURGERY, 2008, 19 (03) :637-643
[3]  
Cademartiri Filippo, 2004, Acta Biomed, V75, P122
[4]   Mandibular distraction osteogenesis: A historic perspective and future directions [J].
Cope, JB ;
Samchukov, ML ;
Cherkashin, AM .
AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 1999, 115 (04) :448-460
[5]   The mandibular catch-up growth controversy in Pierre Robin sequence [J].
Daskalogiannakis, J ;
Ross, RB ;
Tompson, BD .
AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 2001, 120 (03) :280-285
[6]   Mandibular distraction osteogenesis for Pierre Robin sequence: What percentage of neonates need it? [J].
Dauria, Danielle ;
Marsh, Jeffrey L. .
JOURNAL OF CRANIOFACIAL SURGERY, 2008, 19 (05) :1237-1243
[7]   New technique for airway correction in neonates with severe Pierre Robin sequence [J].
Denny, A ;
Amm, C .
JOURNAL OF PEDIATRICS, 2005, 147 (01) :97-101
[8]   Mandibular distraction in neonates: A strategy to avoid tracheostomy - Discussion [J].
Denny, A ;
Kalantarian, B ;
McCarthy, J .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2002, 109 (03) :905-906
[9]  
Denny A, 2002, PLAST RECONSTR SURG, V109, P896, DOI 10.1097/00006534-200203000-00011
[10]   Mandibular distraction osteogenesis in very young patients to correct airway obstruction [J].
Denny, AD ;
Talisman, R ;
Hanson, PR ;
Recinos, RF .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2001, 108 (02) :302-311