What is the impact of distraction osteogenesis on the upper airway of hemifacial microsomia patient with obstructive sleep apnea: a case report

Wang, Rongyang; Xu, Shixing; Yang, Ruimei

doi:10.1186/s40001-021-00547-1

Cited by 4 publications

(4 citation statements)

References 20 publications

(20 reference statements)

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“…MDO is widely thought to increase airway space by gradually lengthening the mandible, allowing the tongue and supraglottis to move forward, with studies focusing on the specific mechanism of the change in airway morphology ( 20 ). A recent analysis based on computational fluid dynamics has revealed that DO may be effective in treating OSA by widening the upper airway and reducing inspiratory resistance ( 25 ). In advancement of midface, the magnitude of horizontal advancement correlates closely with the increase in airway volume and improvement in the apnea hypoventilation index ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

A bibliometric analysis of research on craniomaxillofacial distraction osteogenesis from 2000 to 2021

Liu

Yang²,

Zhou³

et al. 2022

Front. Surg.

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ObjectiveThis study collected and summarized publications related to craniomaxillofacial distraction osteogenesis(DO) from 2000 to 2021, investigated trends in related research, and compared publications from different countries, institutions and journals. The aim is showcasing hotspots and frontiers in the field and providing a reference for future research.BackgroundCraniomaxillofacial DO serves to treat different types of craniomaxillofacial dysplasia and bone defects and deformities. DO can significantly reduce surgical trauma, complications, and recurrence rate compared to conventional surgery. However, there is a lack of bibliometric analyses regarding Craniomaxillofacial DO.MethodsCiteSpace and VOSviewer were used to analyze and visualize 3,141 articles and reviews searching through the Web of Science Core Collection(WOSCC) to obtain publications on craniomaxillofacial DO from 1 January 2000 to 31 December 2021.ResultsIn the last 21 years, there has been a significant increase in the number of publications. The United States, the People's Republic of China, and Italy produce the vast majority of publications. University of Milan and University of Bologna are the most influential in this field. McCarthy JG is the most influential author. Obstructive sleep apnea, TMJ ankylosis and cleft lip and palate are potential research direction in this field.ConclusionFuture research should focus on the precise indications and optimal timing of craniomaxillofacial DO and the evaluation of the long-term outcomes of various modified procedures. This study provides a relatively objective reference for related researchers, medical practitioners, and global health systems.

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Section: Discussionmentioning

confidence: 99%

A bibliometric analysis of research on craniomaxillofacial distraction osteogenesis from 2000 to 2021

Liu

Yang²,

Zhou³

et al. 2022

Front. Surg.

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“…Distraction is one of the surgical options to manage airway obstruction in PRS, and several studies have shown that computed tomography (CT) scans are useful for assessing the airway and comparing volumes and dimensions pre-and post-surgery. 8,9 The surgical management of children with craniofacial abnormalities is complex, and functional respiratory improvements are not reliably achieved. In a study by Moraleda-Cibri an et al, a group of children with craniofacial malformations were found to have OSA and were treated with positive airway pressure and/or adenotonsillectomy; the majority of these patients had residual OSA post-treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, Pierre Robin sequence (PRS) is defined as the association of micrognathia, glossoptosis, and upper airway obstruction. Distraction is one of the surgical options to manage airway obstruction in PRS, and several studies have shown that computed tomography (CT) scans are useful for assessing the airway and comparing volumes and dimensions pre‐ and post‐surgery 8,9 …”

Section: Introductionmentioning

confidence: 99%

Measurement of Upper Airway Volume in Children with Craniofacial Abnormalities

Gordon,

Ben‐Dov,

Asfour

et al. 2023

The Laryngoscope

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Objective(s)Previous literature has established a high prevalence of upper airway obstruction in children with craniofacial abnormalities. This study aims to perform quantitative airway volume measurements in patients with craniofacial abnormalities and compare them to age and sex‐matched controls.MethodsWe performed a retrospective review of the records of all children with craniofacial abnormalities who underwent head‐and‐neck computed tomography (CT) imaging at a single tertiary‐care center between 1/1/13 and 12/31/20 using the ICD‐10 codes Q75.1, Q75.4, and Q87.0. These patients were then matched by age and sex to patients with isolated craniosynostosis (Q75.0). CT scans were imported into Dolphin Imaging software, and airway volumes were measured for the nasal cavity, nasopharynx, oropharynx, and hypopharynx. The primary outcome was the total airway volume, defined as the sum of these measurements.ResultsThirty subjects with craniofacial syndromes were matched to 30 patients with isolated craniosynostosis (controls). In both groups, 18 subjects (60%) were male (p = 0.99). The average ages for syndromic patients and controls were 12.1 and 12.9 months, respectively (p = 0.84). On average, the total airway volumes of syndromic patients were 25% lower than those of controls (p = 0.02). Syndromic patients had 39% smaller nasal cavity volumes (p < 0.001) and 32% smaller nasopharyngeal volumes (p < 0.01). Significant volume differences were not observed for the oropharynx or hypopharynx.ConclusionWe present a unique technique to measure airway volumes in patients with craniofacial abnormalities. These findings will help practitioners to further understand the anatomy and pathophysiology of disturbed breathing in children with craniofacial syndromes.Level of EvidenceIII Laryngoscope, 2023

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“…CAD provides a complex 3D body of the surgical guide that can be best realized using computer-aided manufacturing (CAM) technology. CAD/CAM technology has been receiving extensive attention in the recent years [ 6 , 9 – 11 ]. Nowadays, there are many systems on the market that allow a computer-assisted implementation using data obtained from CT scans [ 12 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

Biopsies of osseous jaw lesions using 3D-printed surgical guides: a clinical study

et al. 2022

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Background Bone biopsies are often necessary to make a diagnosis in the case of irregular bone structures of the jaw. A 3D-printed surgical guide may be a helpful tool for enhancing the accuracy of the biopsy and for ensuring that the tissue of interest is precisely removed for examination. This study was conducted to compare the accuracy of biopsies performed with 3D-printed surgical guides to that of free-handed biopsies. Methods Computed tomography scans were performed on patients with bony lesions of the lower jaw. Surgical guides were planned via computer-aided design and manufactured by a 3D-printer. Biopsies were performed with the surgical guides. Bone models of the lower jaw with geometries identical to the patients’ lower jaws were produced using a 3D-printer. The jaw models were fitted into a phantom head model and free-handed biopsies were taken as controls. The accuracy of the biopsies was evaluated by comparing the parameters for the axis, angle and depth of the biopsies to the planned parameters. Results Eight patients were included. The mean deviation between the biopsy axes was significantly lower in guided procedures than in free-handed biopsies (1.4 mm ± 0.9 mm; 3.6 mm ± 1.0 mm; p = 0.0005). The mean biopsy angle deviation was also significantly lower in guided biopsies than in free-handed biopsies (6.8° ± 4.0; 15.4° ± 3.6; p = 0.0005). The biopsy depth showed no significant difference between the guided and the free-handed biopsies. Conclusions Computer-guided biopsies allow significantly higher accuracy than free-handed procedures.

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What is the impact of distraction osteogenesis on the upper airway of hemifacial microsomia patient with obstructive sleep apnea: a case report

Cited by 4 publications

References 20 publications

A bibliometric analysis of research on craniomaxillofacial distraction osteogenesis from 2000 to 2021

A bibliometric analysis of research on craniomaxillofacial distraction osteogenesis from 2000 to 2021

Measurement of Upper Airway Volume in Children with Craniofacial Abnormalities

Biopsies of osseous jaw lesions using 3D-printed surgical guides: a clinical study

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