Abstract
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, 4.3 months) and 2 pediatric patients (mean age, 5.4 years). Two patients had already received tracheotomies, 11 had not. The intervention was bilateral mandibular osteotomies with distraction osteogenesis. The outcome measures were avoidance of tracheotomy and decannulation. Results: Ten of 11 patients avoided tracheotomy. Two of 2 patients who had already undergone tracheotomies were successfully decannulated. Conclusion: Mandibular distraction osteogenesis is an acceptable treatment alternative to tracheotomy in select pediatric patients with micrognathia and severe tongue-based obstruction.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 11-15 |
| Number of pages | 5 |
| Journal | Archives of Facial Plastic Surgery |
| Volume | 12 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2010 |
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ASJC Scopus subject areas
- Surgery
Cite this
Mandibular distraction osteogenesis used to treat upper airway obstruction. / Senders, Craig W; Kolstad, Christopher Kevin; Tollefson, Travis Tate; Sykes, Jonathan M.
In: Archives of Facial Plastic Surgery, Vol. 12, No. 1, 01.2010, p. 11-15.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Mandibular distraction osteogenesis used to treat upper airway obstruction
AU - Senders, Craig W
AU - Kolstad, Christopher Kevin
AU - Tollefson, Travis Tate
AU - Sykes, Jonathan M
PY - 2010/1
Y1 - 2010/1
N2 - 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, 4.3 months) and 2 pediatric patients (mean age, 5.4 years). Two patients had already received tracheotomies, 11 had not. The intervention was bilateral mandibular osteotomies with distraction osteogenesis. The outcome measures were avoidance of tracheotomy and decannulation. Results: Ten of 11 patients avoided tracheotomy. Two of 2 patients who had already undergone tracheotomies were successfully decannulated. Conclusion: Mandibular distraction osteogenesis is an acceptable treatment alternative to tracheotomy in select pediatric patients with micrognathia and severe tongue-based obstruction.
AB - 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, 4.3 months) and 2 pediatric patients (mean age, 5.4 years). Two patients had already received tracheotomies, 11 had not. The intervention was bilateral mandibular osteotomies with distraction osteogenesis. The outcome measures were avoidance of tracheotomy and decannulation. Results: Ten of 11 patients avoided tracheotomy. Two of 2 patients who had already undergone tracheotomies were successfully decannulated. Conclusion: Mandibular distraction osteogenesis is an acceptable treatment alternative to tracheotomy in select pediatric patients with micrognathia and severe tongue-based obstruction.
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UR - http://www.scopus.com/inward/citedby.url?scp=76749118023&partnerID=8YFLogxK
U2 - 10.1001/archfacial.2009.110
DO - 10.1001/archfacial.2009.110
M3 - Article
C2 - 20083735
AN - SCOPUS:76749118023
VL - 12
SP - 11
EP - 15
JO - JAMA Facial Plastic Surgery
JF - JAMA Facial Plastic Surgery
SN - 2168-6076
IS - 1
ER -