Mandibular distraction osteogenesis with a small semiburied device in neonates: report of 2 cases

Distraction osteogenesis has recently assumed an important role in the correction of craniofacial anomalies, particularly for the treatment of potentially life-threatening, deformity-associated upper airway obstruction and respiratory dysfunction in neonates. Such deformities include Treacher Collins syndrome, Goldenhar 's syndrome, Nager's syndrome, temporomandibular joint ankylosis, and Pierre Robin sequence. These conditions frequently require a tracheostomy to maintain airway patency. We report our experience with using mandibular distraction as a valid alternative to tracheostomy. Minimally invasive surgery is possible with small semiburied devices.