Mid-Term Dental and Nerve-Related Complications of Infant Distraction for Robin Sequence

Steinberg, Jordan P.; Brady, Colin M.; Waters, Brittany R.; Soldanska, Magdalena; Burstein, Fernando D.; Thomas, Jack E.; Williams, Joseph K.

doi:10.1097/prs.0000000000002271

Cited by 30 publications

(55 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One potential benefit of VSP is the avoidance of damage to developing dental structures. In a series of 85 patients who underwent MDO in infancy and had a median follow-up of 7.3 years, Steinberg et al found that 47.7% had abnormal formation of the permanent mandibular first molar tooth, and the primary mandibular second molar was injured in 13.6% 1 . The ability to modify these outcomes by 3D visualization of the developing dentition and customization of osteotomy designs, however, is unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Mandibular distraction osteogenesis (MDO) has become the first-line operation in many centers for infants with airway obstruction associated with (Pierre) Robin sequence (RS) who have failed non-invasive management 1 . This procedure boasts high rates for successful resolution of obstructive sleep apnea (OSA) and avoid-ance of tracheostomy [2][3][4][5][6][7][8][9][10][11][12] .…”

mentioning

confidence: 99%

“…This procedure boasts high rates for successful resolution of obstructive sleep apnea (OSA) and avoid-ance of tracheostomy [2][3][4][5][6][7][8][9][10][11][12] . Long-term complications associated with the position of the osteotomies, such as injury to developing teeth and the inferior alveolar nerve, however, are common 1,[13][14][15] .…”

mentioning

confidence: 99%

See 2 more Smart Citations

Precise osteotomies for mandibular distraction in infants with Robin sequence using virtual surgical planning

Resnick

2018

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Mandibular distraction osteogenesis (MDO) has become the first-line operation in many centers for the management of obstructive sleep apnea (OSA) in infants with (Pierre) Robin sequence (RS) not relieved by non-surgical approaches. Preoperative virtual surgical planning (VSP) may improve precision and decrease complications for this operation. This article reports a retrospective study of RS infants who underwent MDO for OSA using preoperative VSP and three-dimensionally printed cutting guides performed by one surgeon. Seventeen subjects who had MDO at a mean age of 87±96days were included. Maxillofacial computed tomography scans were obtained 15±7days prior to MDO. Osteotomy designs included linear (n=4, 23.5%), inverted-L (n=11, 64.7%), and multi-angular (n=2, 11.8%). Cutting guides were used successfully and osteotomies were created as planned in all cases. Devices were removed 67±15.6days after placement. Bone formation in the distraction gap was seen in all cases at device removal. All patients had successful airway outcomes. There were no major and four minor complications during the follow-up period of 458±267 days. In conclusion, MDO is a successful procedure for the management of OSA associated with RS in infants, and VSP facilitates its precise design and execution.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Precise osteotomies for mandibular distraction in infants with Robin sequence using virtual surgical planning

Resnick

2018

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

show abstract

“…Premolars were the second most commonly absent teeth in this study, which is again consistent with prior reports. 12,13 Other major molar abnormalities at the permanent dentition phase included dysplasia, impaction, ectopia, and ankylosis of multiple teeth, including the canine, premolars, and molars. Canines and premolars were impacted at higher rates than would be expected in the general population.…”

Section: Face 2(3)mentioning

confidence: 99%

Pediatric Mandibular Distraction Osteogenesis and Long-Term Dental Morbidity: A Clinical Evaluation and Review of the Literature

Chen

Brooker

Barnett

et al. 2021

FACE

View full text Add to dashboard Cite

Objectives: Pediatric mandibular distraction osteogenesis (MDO) is an increasingly common surgical procedure used to lengthen the mandible. Little is known about the long-term effects of MDO on dental development. This retrospective study sought to identify dental abnormalities at mixed dentition and early permanent dentition stages in patients who had undergone MDO. Methods: All pediatric patients who underwent MDO with imaging and clinical exams at mixed dentition and early permanent dentition stages were evaluated identify pathology. Data included demographic information, medical and surgical history, complications, and dental exam information. Descriptive statistics were reported. Results: Twenty-two hemimandibles at mixed dentition stage and 24 at early permanent stage were included. Mean age at initial MDO was 7.95 years with a mean follow-up time of 15.1 years. Nine patients required more than 1 distraction. At the mixed dentition stage, all patients showed abnormalities. The most common abnormalities were absent, dysplastic, or ectopic molars. At early permanent dentition stage, 87.5% of patients had dental abnormalities. The most common abnormality was missing molars (third, second, and first), but dysplastic, impacted, and ectopic teeth were also noted. At both mixed and early permanent dentition stages, some patients were noted to have abnormal V-shaped sigmoid notching of the mandibular ramus of undetermined clinical significance. Buccal mucosal scarring that interfered with orthodontic treatment was observed in a subset of patients. Conclusions: This study provides long-term dental analyses of patients undergoing MDO for mandibular hypoplasia. Dental abnormalities were seen at both mixed and early permanent dentition stages. Molars were the most commonly affected with absence the most commonly seen abnormality. Dysplastic, ectopic, and impacted teeth were also seen in posterior and anterior dentition, and abnormalities in buccal soft tissue and the mandibular ramus were also seen. MDO remains a crucial tool for functional and aesthetic improvement in children with hypoplastic mandibles. Dental abnormalities as a consequence of MDO should be considered as part of surgical planning process.

show abstract

“…Mandibular distraction osteogenesis (MDO) is commonly used to relieve retroglossal airway obstruction in infants with Robin sequence (RS). 1 Virtual surgical planning (VSP) may aid in device selection and placement, facilitate vector management, simplify the operation, improve precision, and decrease complications such as damage to adjacent developing teeth and nerves. 2 This report describes an algorithm for VSP and three-dimensional (3D) printing of cutting guides for MDO in infants with RS.…”

Section: Introductionmentioning

confidence: 99%

Virtual Surgical Planning for Mandibular Distraction in Infants with Robin Sequence

Resnick

2017

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary: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. This report presents an algorithm for virtual surgical planning and three-dimensionally printing of cutting guides for MDO in infants with RS.

show abstract

Mid-Term Dental and Nerve-Related Complications of Infant Distraction for Robin Sequence

Abstract: Therapeutic, IV.

Cited by 30 publications

References 30 publications

Precise osteotomies for mandibular distraction in infants with Robin sequence using virtual surgical planning

Precise osteotomies for mandibular distraction in infants with Robin sequence using virtual surgical planning

Pediatric Mandibular Distraction Osteogenesis and Long-Term Dental Morbidity: A Clinical Evaluation and Review of the Literature

Virtual Surgical Planning for Mandibular Distraction in Infants with Robin Sequence

Contact Info

Product

Resources

About