[Mandibular distraction osteogenesis in patients with craniofacial malformation]. / Distracción mandibular osteogénica en pacientes con malformaciones craneofaciales.
Cir Pediatr
; 24(2): 102-8, 2011 Apr.
Article
em Es
| MEDLINE
| ID: mdl-22097658
Craniofacial malformations (Pierre-Robin sequence, Treacher-Collins syndrome, Nager syndrome, etc.) are frequently associated to severe mandibular hypoplasia, which can cause upper airway obstruction by retroposition of the base of the tongue in the posterior pharyngeal space. Most of the patients respond to postural treatment. In prone decubitus position, it may be necessary to monitor oxygen saturation, insert a nasopharyngeal tube and even an endotracheal one. In more severe cases with prolonged and frequent pauses of apnea, tracheostomy may be necessary, but it is associated with high morbidity and sometimes mortality. In the last two years, in the Multidisciplinary Cleft Lip and Palate Unit of the Hospital Virgen de las Nieves, 4 children with severe obstructive apnea secondary to severe mandibular hypoplasia have been treated with mandibular distraction osteogenesis, this procedure being effective in the resolution of the condition. It has avoided tracheostomy, it has lengthened the jaw in a period of 2-3 weeks. During this time, the obstructive respiratory problems and also swallowing problems have disappeared. The esthetic results were excellent and the complications, for the moment, minimum.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apneia
/
Anormalidades Craniofaciais
/
Osteogênese por Distração
/
Mandíbula
Limite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
Es
Revista:
Cir Pediatr
Assunto da revista:
PEDIATRIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Granada
País de publicação:
Espanha