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An Analysis of Predictors of Early Morbidity and Mortality in Infants with Robin Sequence.

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Adverse Outcomes After Mandibular Distraction Osteogenesis in Robin Sequence.

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A Mouse Distraction Osteogenesis Model
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Neonatal mandibular distraction osteogenesis.

Roberto L Flores1

  • 1Department of Plastic Surgery, NYU Langone Medical Center, New York, New York.

Seminars in Plastic Surgery
|November 11, 2014
PubMed
Summary
This summary is machine-generated.

Mandibular distraction surgery effectively treats severe airway obstruction in Robin sequence by correcting jaw hypoplasia. This technique is superior to other methods and has a low complication rate, making it a preferred treatment.

Keywords:
gastroesophageal refluxmandibular distraction osteogenesisneonatalobstructive sleep apnea

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Otolaryngology
  • Pediatric Plastic Surgery

Background:

  • Robin sequence presents with micrognathia, glossoptosis, and airway obstruction.
  • Severe airway compromise often necessitates surgical intervention.
  • Mandibular hypoplasia is the primary driver of airway stenosis in this condition.

Purpose of the Study:

  • To review the efficacy and safety of mandibular distraction osteogenesis in treating Robin sequence.
  • To compare mandibular distraction with other surgical interventions for airway obstruction.
  • To discuss the role of polysomnography in managing Robin sequence patients.

Main Methods:

  • Literature review of studies on mandibular distraction for Robin sequence.
  • Analysis of outcomes including airway improvement and complication rates.
  • Evaluation of polysomnography as an objective measure of airway obstruction.

Main Results:

  • Mandibular distraction is highly effective in relieving airway obstruction and avoiding tracheostomy.
  • The technique directly addresses mandibular hypoplasia and tongue base issues.
  • Complications are generally minor, with infection being the most common.

Conclusions:

  • Mandibular distraction is the first-line surgical treatment for severe airway obstruction in Robin sequence.
  • Polysomnography is crucial for surgical indications and long-term airway assessment.
  • Further research is needed to standardize protocols and investigate feeding difficulties.