Mandibular Distraction Osteogenesis Used to Treat Upper Airway
                        Obstruction

Senders, Craig W; Kolstad, Christopher Kevin; Tollefson, Travis Tate; Sykes, Jonathan M.

doi:10.1001/archfaci.2009.110

Cited by 14 publications

(7 citation statements)

References 15 publications

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“…Multiple authors have documented its success in improving polysomnography (PSG) data 41 , 45 – 48 and, more specifically, the apnea‐hypopnea index (AHI) and respiratory disturbance index (RDI) 42,49 , 50 . Another published measure of success is avoidance of a tracheostomy or decannulation of a tracheostomy, and several studies have reported this finding 41,43 ,44,46, 50 – 52 . Other studies have reported a reduction in the need for tracheostomy secondary to the MD procedure † .…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies describe the indications for surgical intervention in their study population. 20,34,[40][41][42][43][44][45] These are all level 4 or 5 studies and vary with detail of criteria for surgical intervention from comprehensive evaluations to statements designating that the patient was refractory to conservative management.…”

Section: Indication For Surgerymentioning

confidence: 99%

“…42,49,50 Another published measure of success is avoidance of a tracheostomy or decannulation of a tracheostomy, and several studies have reported this finding. 41,43,44,46,[50][51][52] Other studies have reported a reduction in the need for tracheostomy secondary to the MD procedure. † Of the 29 articles that met inclusion criteria for this systematic review, all data on MD appear in level 4 or 5 studies, with no prospective data.…”

Section: Mandibular Distractionmentioning

confidence: 99%

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Neonates with Tongue‐Based Airway Obstruction

Bookman

Melton

Pan

et al. 2011

Otolaryngol.--head neck surg.

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The variability in the phenotype of the cohorts studied and the absence of standardized indications for intervention preclude deriving any definitive conclusions regarding diagnostic tools to evaluate this patient population, treatment choices, or long-term outcomes. A coordinated multicenter study with a standardized diagnostic and treatment algorithm is recommended to develop evidence for the diagnosis and treatment of neonates with TBAO.

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Section: Resultsmentioning

confidence: 99%

Section: Indication For Surgerymentioning

confidence: 99%

Section: Mandibular Distractionmentioning

confidence: 99%

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Neonates with Tongue‐Based Airway Obstruction

Bookman

Melton

Pan

et al. 2011

Otolaryngol.--head neck surg.

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“…Using MD to lengthen the mandible provides greater room for the tongue and oral soft tissues and indirectly pulls them forward by their attachments to the mandible, correcting glossoptosis and improving airway obstruction. A growing body of studies indicate MD helps PRS patients treated with tracheostomy achieve decannulation sooner or avoid tracheostomy altogether 9,11,14,16‐24 . Complications associated with MD include hardware malfunction, infection, damage to tooth buds, and nerve injury and pain, although the actual incidence varies depending on surgeon experience and technique 25,26 …”

Section: Discussionmentioning

confidence: 99%

“…A growing body of studies indicate MD helps PRS patients treated with tracheostomy achieve decannulation sooner or avoid tracheostomy altogether. 9,11,14,[16][17][18][19][20][21][22][23][24] Complications associated with MD include hardware malfunction, infection, damage to tooth buds, and nerve injury and pain, although the actual incidence varies depending on surgeon experience and technique. 25,26 Two groups have performed cost analyses to compare tracheostomy to MD for PRS.…”

Section: Discussionmentioning

confidence: 99%

Cost Analysis of Mandibular Distraction versus Tracheostomy in Neonates with Pierre Robin Sequence

Runyan

Uribe-Rivera

Karlea

et al. 2014

Otolaryngol.--head neck surg.

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For patients with severe PRS, mandibular distraction provides significant cost savings over tracheostomy ($300,000 per patient over 3 years). Increased costs with tracheostomy come from greater hospital-related charges, more frequent airway procedures, a higher incidence of gastrostomy tube feeds, and home trach care costs. A careful examination of long-term outcomes will be critical as mandibular distraction continues to gain acceptance for treatment of PRS.

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

Datta

Utreja

Singh

et al. 2013

J. Maxillofac. Oral Surg.

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Introduction The aim of this research was to evaluate the level of satisfaction of patients who were undergoing distraction osteogenesis of mandible with extraoral distraction appliance. Material and Methods The prospective study was performed on 13 patients with facio-mandibular deformity reporting to the Oral Health Sciences Center, PGIMER, Chandigarh, India, who required surgical and orthodontic intervention for correction. A standardized multiple choice questionnaire was provided to all patients at 3 stages of treatment i.e. during predistraction, distraction and post distraction period. Results Predistraction evaluation showed that the main reason for patients to seek treatment was lack of facial esthetics and all of them were sure that there would be a change in their lives after they underwent this treatment procedure. During distraction phase the most common complaint was pain. None of the patients felt that they were suffering during active distraction phase and all felt that they made the right decision. In post distraction phase, all patients were satisfied with the treatment and felt that the treatment was worth it. Twelve out of 13 patients would recommend treatment to others without any hesitation. Conclusion Our study concludes that distraction osteogenesis of the mandible with extra-oral appliances is acceptable to patients, and improved facial appearance is a positive influence. The appliance and results of the procedure are socially accepted and appreciated.

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Mandibular Distraction Osteogenesis Used to Treat Upper Airway Obstruction

Cited by 14 publications

References 15 publications

Neonates with Tongue‐Based Airway Obstruction

Neonates with Tongue‐Based Airway Obstruction

Cost Analysis of Mandibular Distraction versus Tracheostomy in Neonates with Pierre Robin Sequence

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

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