Surgical Management of Pierre Robin Sequence: Using Mandibular Distraction Osteogenesis to Address Hypoventilation and Failure to Thrive in Infancy.

Mandibular Distraction Osteogenesis: Upper Airway Management in Pierre Robin Sequence

Mandibular distraction osteogenesis in Pierre Robin sequence: application of a new internal single-stage resorbable device.

Pierre Robin sequence may result in physiologically significant obstructive apnea in the neonatal and infant period. This may be life threatening and is most often treated by tracheostomy. To avoid tracheostomy or allow for early decannulation in severely affected infants and children, the authors have developed a new class of neonatal and infant mandibular bone distraction devices. These devic...

Abstract: Cost Analysis of Distraction Osteogenesis Versus Conventional Surgery in Le Fort III Surgery for Syndromic Craniosynostosis

INTRODUCTION: Mandibular micrognathia is the primary defining characteristic of Pierre Robin Sequence (PRS) that sets off a physiologic cascade with varying severity of airway obstruction.1 The diagnosis of micrognathia is predominantly clinical, though with the advent of three-dimensional computed tomography (3D-CT), the development of objective and accurate measurements of skeletal morphology...

Virtual Surgical Planning for Mandibular Distraction in Infants with Robin Sequence

Mandibular distraction osteogenesis (MDO) successfully relieves obstructive sleep apnea in many infants with Robin sequence. Preoperative virtual surgical planning and fabrication of three-dimensionally printed cutting guides may lead to further improvements in the MDO technique and decrease the risk for damage to adjacent structures such as developing teeth and the inferior alveolar nerve. Thi...

Anesthetic implications of infants with mandibular hypoplasia treated with mandibular distraction osteogenesis.

OBJECTIVES To document the incidence of difficult intubation following mandibular distraction osteogenesis (MDO) in children with severe mandibular hypoplasia. BACKGROUND Syndromes associated with significant mandibular hypoplasia, especially Pierre Robin sequence, provide a challenge in airway management both in and out of the operating room. Mandibular advancement using mandibular distracti...