Mandibular Distraction Osteogenesis Used to Treat Upper Airway Obstruction

Abstract

Mandibular distraction osteogenesis is an acceptable treatment alternative to tracheotomy in select pediatric patients with micrognathia and severe tongue-based obstruction.

Satisfaction Audit of Patients Undergoing Mandibular Distraction Osteogenesis with Extra-Oral Distraction Appliances

“…Respiratory difficulty was a problem in two (15.38 %) of our patients pre-operatively who were breathing comfortably at the end of the distraction. Improvement of pharyngeal air space after mandibular distraction has been well documented [20,21].…”

10 Distraction Osteogenesis

“…This invasive intervention although remains to be the gold standard, has been associated with considerable morbidity. [40] Mandibular DO allows for early treatment in neonates and infants. It is noteworthy that despite the promising results accomplished with DO at early ages [40]- [42], long-term follow-ups are required to evaluate the stability of the outcomes.…”

Custom-made intraoral mandibular distraction as treatment for neonatal airway obstruction

“…Since then, many reports have been published on this treatment modality with good results 16,17,[8][9][10][11]14,19,23,24,28 .…”

“…Different DO devices, extraoral [8][9][10][11]14,19,24,28 and intraoral 10,23 have been used. The major advantages of extraoral devices are considered to be vector control and easy removal [9][10][11]24 .…”

“…The major advantages of extraoral devices are considered to be vector control and easy removal [9][10][11]24 . Disadvantages are the scarring, the physical presence of the device and related problems (e.g.…”