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[Treatment of severe micrognathia accompanying obstructive sleep apnea hypopnea syndrome with rigid external

Biao Yi1, Xing Wang, Cheng Liang

  • 1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.

Zhonghua Kou Qiang Yi Xue Za Zhi = Zhonghua Kouqiang Yixue Zazhi = Chinese Journal of Stomatology
|August 9, 2007
PubMed

Insights

Rigid external distractors effectively treat severe micrognathia and obstructive sleep apnea hypopnea syndrome (OSAHS) in children. This technique offers uncomplicated procedures and high-quality bone formation, even in small mandibles.

Area of Science:

  • Craniofacial surgery
  • Pediatric orthognathics
  • Sleep medicine

Context:

  • Severe micrognathia in children often co-exists with obstructive sleep apnea hypopnea syndrome (OSAHS).
  • Traditional treatments may have limitations, especially in cases with small mandibular structures.

Purpose:

  • To evaluate the efficacy of the rigid external distractor (RED) technique for treating severe micrognathia associated with OSAHS in pediatric patients.
  • To assess treatment outcomes, including airway space and polysomnography results.

Summary:

  • Six pediatric patients (1.5-14 years) with ankylosis of the temporomandibular joint, severe micrognathia, and OSAHS underwent RED treatment via a submandibular approach.
  • Significant improvements were observed in patient profiles, posterior airway space, and polysomnography results.
  • The RED technique demonstrated uncomplicated procedures, excellent new bone formation, and precise control, proving suitable for small mandibles.

Impact:

  • The RED technique provides a viable and effective solution for managing severe micrognathia and associated OSAHS in children.
  • This method facilitates significant airway improvement and bone regeneration without complications.
  • It offers a distinct advantage for pediatric cases where internal distractors are not feasible due to mandibular size.
Abstract

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