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Updated: Jul 11, 2026
04:24
A Mouse Distraction Osteogenesis Model
Published on: November 14, 2018
Patient Outcomes in Mandibular Distraction Based on Timing of Feeding Initiation
Jacob Boyd1,2, Nicole Wershoven1, Alex Kaizer3
1Department of Otolaryngology-Head and Neck Surgery, University of Colorado, Aurora, Colorado, USA.
Summary
Initiating feeding during mandibular distraction osteogenesis (MDO) surgery speeds up full oral feeds and shortens hospital stays for infants with micrognathia or Pierre Robin sequence (PRS). This approach enhances patient recovery and care.
Area of Science:
- Craniofacial Surgery
- Pediatric Surgery
- Otolaryngology
Background:
- Mandibular distraction osteogenesis (MDO) is a surgical procedure to correct micrognathia and Pierre Robin sequence (PRS).
- Feeding difficulties are common in patients with these conditions, impacting recovery.
- Optimal timing for initiating oral feeding post-MDO requires further investigation.
Purpose of the Study:
- To compare feeding outcomes in patients undergoing MDO.
- To assess the impact of initiating feeding during vs. after distraction.
- To determine if early feeding improves postoperative care for airway obstruction.
Main Methods:
- Retrospective chart review of 83 patients (2000-2024) at a single academic institution.
- Data collected via REDCap, analyzed using linear regression.
- Comparison of feeding milestones and hospital stay between two feeding groups.
Main Results:
- Patients fed during distraction reached full feeds significantly faster (1.4 vs. 12.8 days post-distraction completion, P=.027).
- Higher rates of achieving full feeds were observed in the early feeding group (72% vs. 42%, P=.01).
- Early feeding was associated with a shorter hospital stay (15 days shorter, P<.01).
Conclusions:
- Initiating feeding during MDO distraction accelerates achievement of full oral feeds.
- Early feeding during MDO is linked to reduced hospital length of stay.
- This strategy may enhance postoperative care for pediatric patients with micrognathia/PRS.
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