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[Treatment of airway obstruction with mandibular distraction osteogenesis in Pierre Robin syndrome].

AbstractOBJECTIVE:
To investigate the feasibility of mandibular distraction osteogenesis (MDO) in the treatment of airway obstruction in Pierre Robin syndrome (PRS).
METHODS:
From 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).
RESULTS:
The 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.
CONCLUSIONS:
MDO is feasible and safe for the treatment of airway obstruction in PRS.
AuthorsWei-min Shen, Jie Cui, Jian-bing Chen, Ji-jun Zou, Yi Ji, Shun-rong Wang, Hai-ni Chen
JournalZhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery (Zhonghua Zheng Xing Wai Ke Za Zhi) Vol. 26 Issue 1 Pg. 4-7 (Jan 2010) ISSN: 1009-4598 [Print] China
PMID20432915 (Publication Type: Evaluation Study, Journal Article)
Topics
  • Airway Obstruction (surgery)
  • Female
  • Humans
  • Infant, Newborn
  • Male
  • Osteogenesis, Distraction
  • Pierre Robin Syndrome (surgery)

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