Three-dimensional airways volumetric analysis before and after fast and early mandibular osteodistraction

被引:15
作者
Ramieri, Valerio [1 ]
Basile, Emanuela [1 ]
Bosco, Giulio [1 ]
Caresta, Elena [2 ]
Papoff, Paola [2 ]
Cascone, Piero [1 ]
机构
[1] Sapienza Univ Roma, Dipartimento Sci Odontostomatol & Maxillo Faccial, Rome, Italy
[2] Sapienza Univ Roma, Dipartmento PICU, Rome, Italy
关键词
Pierre Robin sequence; Airways; Mandibular osteodistraction; Syndromic micrognathia; PIERRE-ROBIN-SEQUENCE; COMPUTED TOMOGRAPHIC ANALYSIS; OBSTRUCTIVE SLEEP-APNEA; DISTRACTION OSTEOGENESIS; LARSEN SYNDROME; ANATOMY; TRACHEOSTOMY; DIAGNOSIS;
D O I
10.1016/j.jcms.2016.12.007
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: Newborns with Pierre Robin sequence (PRS) and syndromic micrognathia show microgenia and glossoptosis, which cause reduction of the airway and breathing difficulty from birth. Our goal is to analyze quantitative and qualitative volumetric changes before and after fast and early mandibular osteodistraction (FEMOD) and to compare radiological data. Methods: The sample was composed of 4 patients, who satisfied inclusion criteria for completeness of data. Computed tomography pre-and post-operation were performed, then a volumetric assessment was made with Dolphin Imaging. Polysomnography was performed before and after FEMOD. Results: Pre-and post-operative CT scan data were compared. The analysis of all three sections showed a significant increase of volumetric parameters. The retroglossal volume average increase was 346%, and the retropalatal volume average increase was 169%. These data matched the improvement recorded by polysomnography. Conclusions: The data confirm FEMOD as an efficient treatment to improve airways and breathing problem in patients affected by Pierre Robin sequence and syndromic micrognathia. The three-dimensional volume rendering could be a useful method to evaluate and quantify the increase in airways volume. (C) 2016 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:377 / 380
页数:4
相关论文
共 24 条
[1]   Three-Dimensional Computed Tomographic Airway Analysis of Patients with Obstructive Sleep Apnea Treated by Maxillomandibular Advancement [J].
Abramson, Zachary ;
Susarla, Srinivas M. ;
Lawler, Matthew ;
Bouchard, Carl ;
Troulis, Maria ;
Kaban, Leonard B. .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 69 (03) :677-686
[2]   Three-Dimensional Computed Tomographic Analysis of Airway Anatomy in Patients With Obstructive Sleep Apnea [J].
Abramson, Zachary ;
Susarla, Srinivas ;
August, Meredith ;
Troulis, Maria ;
Kaban, Leonard .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2010, 68 (02) :354-362
[3]   Age-Related Changes of the Upper Airway Assessed by 3-Dimensional Computed Tomography [J].
Abramson, Zachary ;
Susarla, Srinivas ;
Troulis, Maria ;
Kaban, Leonard .
JOURNAL OF CRANIOFACIAL SURGERY, 2009, 20 :657-663
[4]   Effects of Mandibular Distraction Osteogenesis on Three-Dimensional Airway Anatomy in Children With Congenital Micrognathia [J].
Abramson, Zachary R. ;
Susarla, Srinivas M. ;
Lawler, Matthew E. ;
Peacock, Zachary S. ;
Troulis, Maria J. ;
Kaban, Leonard B. .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2013, 71 (01) :90-97
[5]   Three-Dimensional Computed Tomographic Analysis of Airway Anatomy [J].
Abramson, Zachary R. ;
Susarla, Srinivas ;
Tagoni, James R. ;
Kaban, Leonard .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2010, 68 (02) :363-371
[6]   Pierre Robin sequence: appearances and 25 years of experience with an innovative treatment protocol [J].
Butow, Kurt-W. ;
Hoogendijk, Christiaan Frederik ;
Zwahlen, Roger A. .
JOURNAL OF PEDIATRIC SURGERY, 2009, 44 (11) :2112-2118
[7]   THE PIERRE-ROBIN-SEQUENCE - REVIEW OF 125 CASES AND EVOLUTION OF TREATMENT MODALITIES [J].
CAOUETTELABERGE, L ;
BAYET, B ;
LAROCQUE, Y .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1994, 93 (05) :934-942
[8]  
Cascone P, 2014, J CRANIOMAXILLOFAC S, V2, P1364
[9]   BIOCHEMICAL AND STRUCTURAL ABNORMALITIES OF THE CONNECTIVE-TISSUE IN LARSEN SYNDROME [J].
CETTA, G ;
LENZI, L ;
RUGGERI, A ;
TENNI, R ;
BONI, M .
INTERNATIONAL ORTHOPAEDICS, 1979, 3 (01) :47-53
[10]   Mandibular distraction osteogenesis for neonates with Pierre Robin sequence and airway obstruction [J].
Cicchetti, Roberto ;
Cascone, Piero ;
Caresta, Elena ;
Papoff, Paola ;
Miano, Silvia ;
Cerasaro, Carla ;
Ramieri, Valerio ;
Midulla, Fabio ;
Moretti, Corrado .
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2012, 25 :141-143