Mandible traction with wires for the treatment of upper airway obstruction caused by Pierre Robin sequence in Chinese infants: Preliminary findings

Dong, Chenbin; Zheng, Shan; Shen, Chun; Li, Hao

doi:10.1016/j.jcms.2014.01.042

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…This report chose modified mandible traction with wires to treat neonatal PRS. Compared with the procedure of Baciliero et al and Dong et al (6,20), it has some obvious differences in puncture points, traction direction, position, and feeding patterns. Four puncture points passed through mandible can reduce injury of mandibular margins and tooth buds caused by tied wires.…”

Section: Discussionmentioning

confidence: 98%

“…Injury to tooth buds and facial nerves, especially permanent dentition, is difficult to avoid and predict ( 19 ). Mandible traction with wires can maintain the integrity of mandible and has a good safety profile compared to MDO ( 20 ). This patient's surgical and follow-up results also support this view.…”

Section: Discussionmentioning

confidence: 99%

“…Nasogastric tube and oral feeding were started simultaneously on postoperative day 2 to ensure adequate calorie intake is shown in Supplementary Video 1 . Dong et al proposed that constant traction in a fixed lateral recumbent position may lead to plagiocephaly and sensory deprivation ( 20 ). However, this patient without sensory deprivation during follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Modified mandible traction with wires to treat neonatal Pierre Robin sequence: A case report

Zuo

Mu²,

Zhang³

et al. 2022

Front. Surg.

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BackgroundPierre Robin sequence (PRS) is a congenital craniofacial deformity characterized by micrognathia, glossoptosis and airway obstruction. Some affected neonates are born with severe life-threatening upper airway obstruction that requires surgery. If without timely treatment, it is possible to cause not only organ damage and developmental abnormalities but also early newborn mortality.Case presentationIn this report, a 51-hours-old neonate was diagnosed with PRS, who had severe upper airway obstruction and required surgery. We performed the modified mandible traction with wires at four days old and achieved a satisfactory result in improving airway obstruction. No other complications were observed except for mild local infection. No overlap of other more complex syndromes was found, such as ocular abnormalities, hearing loss, other skeletal abnormalities, cardiac abnormalities or other atypical abnormalities. At the present follow-up until 2 years old, there were no significant differences in the maxillofacial appearance, teeth growth, breathing, feeding, growth and development between the patient and normal children.ConclusionThe modified mandible traction with wires can safely and effectively resolve micrognathia, the key to treating PRS, which is minimally invasive, simple and provides immediate relief of airway obstruction with no long term complications compared with other surgical methods. This report aims to provide more evidence of the successful treatment of neonatal PRS micrognathia by modified mandible traction with wires.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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