Early Mandibular Distraction to Relieve Robin Severe Airway Obstruction in Two Siblings with Lymphedema–Distichiasis Syndrome

Mandibular distraction osteogenesis to relieve Pierre Robin severe airway obstruction in neonates: indication and operation.

Airway management in neonates with Pierre Robin sequence is often challenging. Advancement of the tongue base using mandibular distraction in neonates can avoid tracheotomy and is increasingly propagated. The surgical indication is very important. We establish indication. The result of the preoperative peripheral oxygen saturation of about 40% in the prone position is considered as indication. ...

Mandibular distraction to relieve airway obstruction in children with cerebral palsy.

OBJECTIVE To determine the effectiveness of distraction osteogenesis of the mandible for relief of airway obstruction in neurologically impaired children. DESIGN Prospective pilot study. SETTING Tertiary care children's hospital. PATIENTS Five children with upper airway obstruction secondary to hypotonia were identified by airway endoscopy, pulse oximetry, and polysomnography. Four childr...

Mandibular distraction osteogenesis for neonates with Pierre Robin sequence and airway obstruction.

Neonates with Pierre Robin Sequence (PRS) usually present with varying degrees of upper airway obstruction and difficulty feeding. Early treatment is important for such children in order to prevent impaired cognitive development resulting from hypoxemic episodes. Various procedures aimed at widening the pharyngeal space have been proposed, including prone position, tongue-lip adhesion, mandibul...

Mandibular Distraction Osteogenesis: Upper Airway Management in Pierre Robin Sequence

Mandibular distraction osteogenesis used to treat upper airway obstruction.

OBJECTIVE To evaluate whether mandibular distraction osteogenesis relieves tongue-based airway obstruction in patients with severe micrognathia. DESIGN Retrospective medical review spanning a 7-year period in a tertiary care hospital. The inclusion criterion was defined as micrognathia associated with a severe tongue-based obstruction. The patients included 11 neonates and infants (mean age, ...