Mandibular distraction osteogenesis used to treat upper airway obstruction

Research output: Contribution to journalArticle

23 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)11-15
Number of pages5
JournalArchives of Facial Plastic Surgery
Volume12
Issue number1
DOIs
StatePublished - Jan 2010

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Distraction Osteogenesis
Airway Obstruction
Tracheotomy
Micrognathism
Tongue
Mandibular Osteotomy
Pediatrics
Tertiary Healthcare
Tertiary Care Centers
Outcome Assessment (Health Care)
Newborn Infant

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 journalArticle

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