Distraction osteogenesis of the mandible for airway obstruction in children.

Abstract

OBJECTIVES:

Objectives of the study were to determine the effectiveness of distraction osteogenesis of the mandible to relieve airway obstruction in children with tongue-base airway obstruction and to describe the new surgical techniques developed for use in infants and young children.

STUDY DESIGN:

Prospective, nonrandomized study.

METHODS:

Analysis of 11 children with severe airway obstruction secondary to tongue-base obstruction was performed. Patients were between 2 weeks and 5.5 years of age. All patients underwent distraction osteogenesis of the mandible.

RESULTS:

Twelve distraction procedures in the 11 children in the study were accomplished; decannulation or extubation was successful in all children.

CONCLUSION:

Distraction osteogenesis of the mandible can be used to treat tongue-base airway obstruction in appropriately selected children.

• Authors: J D Sidman, D Sampson, B Templeton
• Journal: The Laryngoscope (Laryngoscope) Vol. 111 Issue 7 Pg. 1137-46 (Jul 2001) ISSN: 0023-852X [Print] United States
• PMID: 11568533 (Publication Type: Comparative Study, Journal Article)

Topics

• Age Factors
• Airway Obstruction (etiology, surgery)
• Child, Preschool
• Endoscopy
• Follow-Up Studies
• Humans
• Infant
• Infant, Newborn
• Mandible (surgery)
• Micrognathism (surgery)
• Osteogenesis, Distraction
• Pierre Robin Syndrome (surgery)
• Postoperative Care
• Prospective Studies
• Time Factors
• Tongue
• Tracheotomy
• Treatment Outcome