Neonatal mandibular distraction osteogenesis

A Single Lab Test to Aid Pierre Robin Sequence Severity Diagnosis

“…Although overtreating may sound like a safer option to potentially avoid deaths and life-threating complications, surgeries come with complications as well. In particular, MDO, despite having a high success rate, is associated with postoperative complications including infection, inferior alveolar and marginal mandibular nerve damage, mandibular growth disturbances, tooth bud damage, relapse of distracted bone, temporomandibular joint ankyloses, and death; hence, a narrower threshold is needed for surgical intervention based on physiologic effects of airway obstruction (Allen, 2005; da Silva Freitas et al, 2008; Tibesar et al, 2010; Paes et al, 2013; Lam et al, 2014; Murage et al, 2014; Tsang et al, 2015; Verlinden et al, 2015; Paes et al, 2016). We currently advocate for definitive airway placement if the patient is in severe respiratory distress requiring endotracheal intubation.…”

Safety of Mandibular Osteotomies in Infants with Pierre Robin Sequence: Computer-Aided Modeling to Characterize the Risks of Various Techniques

“…6,7 The Risdon incision is made inferior and parallel to the lower border of the mandible in a natural skin tension line, and care is taken to protect the facial artery, facial vein, and marginal mandibular nerve as facial nerve damage during the initial approach or when retrieving the devices may cause smile asymmetry. 8,9 Alternatively, the intraoral incision is made through the lower lip mucosa just inferior to the mucogingival junction, from the anterior border of the vertical ramus to the angle of the mandible. 10,11 The initial application for mandibular distraction osteogenesis was correction of mandibular asymmetry in children with hemifacial microsomia.…”