Tracheostomy versus mandibular distraction osteogenesis in infants with Robin sequence: a comparative cost analysis

Paes, Emma C.; Fouché, James J; Muradin, M.S.M.; Speleman, Luciënne; Kon, Moshe; Breugem, Corstiaan C.

doi:10.1016/j.bjoms.2013.11.017

Cited by 37 publications

(21 citation statements)

References 16 publications

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“…A smaller study in the Netherlands, showed that tracheostomy had a 3-fold increase in cost, with four times more complications compared with MDO, reinforcing the current trend to avoid tracheostomy whenever possible (112). …”

Section: Treatment Of Osa In Children With Pierre Robin Sequencementioning

confidence: 87%

Craniofacial syndromes and sleep-related breathing disorders

Tan

Kheirandish‐Gozal

Abel

et al. 2016

Sleep Medicine Reviews

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Summary Children with craniofacial syndromes are at risk of sleep disordered breathing, the most common being obstructive sleep apnea. Midface hypoplasia in children with craniosynostosis and glossoptosis in children with Pierre Robin syndrome are well recognized risk factors, but the etiology is often multifactorial and many children have multilevel airway obstruction. We examine the published evidence and explore the current management strategies in these complex patients. Some treatment modalities are similar to those used in otherwise healthy children such as as adenotonsillectomy, positive pressure ventilation and in the refractory cases, tracheostomy. However, there are some distinct approaches such as nasopharyngeal airways, tongue lip adhesion, mandibular distraction osteogenesis in children with Pierre Robin sequence, and midface advancement in children with craniosynostoses. Clinicians should have a low threshold for referral for evaluation of sleep-disordered-breathing in these patients.

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Section: Treatment Of Osa In Children With Pierre Robin Sequencementioning

confidence: 87%

Craniofacial syndromes and sleep-related breathing disorders

Tan

Kheirandish‐Gozal

Abel

et al. 2016

Sleep Medicine Reviews

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“…6,14,43 Also, it has been revealed to be a cost-effective surgical option. 44,45 Drawbacks are the maximum forces that can be applied on fragile plates, which makes it applicable only for those aged younger than 2 years. It would be preferable if curvilinear distractors were available for resorbable devices so that the vector could be optimized.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Results of Mandibular Distraction Osteogenesis with a Resorbable Device in Infants with Robin Sequence

Paes

Bittermann

et al. 2016

Plastic and Reconstructive Surgery

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“…Compared with tracheotomy, patients treated with distraction had a shorter hospital stay with reduction of short and long term costs [21] . Cumulative cost for home care and absence from work have a significant impact on the total costs [22] .…”

Section: Discussionmentioning

confidence: 99%