Distraction osteogenesis of the mandible

Current Opinion in Otolaryngology and Head and Neck Surgery

Volumn 12, Issue 6, 2004, Pages 513-518

  Fritz, Michael A ^a   Sidmar, James D ^b  

^a LERNER RESEARCH INSTITUTE   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

Author keywords

Distraction osteogenesis; Hemifacial microsomia; Micrognathia; Neonatal airway obstruction; Pierre Robin sequence

Indexed keywords

AIRWAY OBSTRUCTION; BIOSAFETY; CHILD; CLINICAL EXAMINATION; CLINICAL FEATURE; CLINICAL PROTOCOL; CRANIOFACIAL MALFORMATION; DEVICE; DISEASE SEVERITY; DISTRACTION OSTEOGENESIS; HUMAN; INSTITUTIONAL CARE; JAW MALFORMATION; MICROGNATHIA; MORBIDITY; NEWBORN; NEWBORN PERIOD; PATIENT SELECTION; PEDIATRICS; PIERRE ROBIN SYNDROME; POSTOPERATIVE COMPLICATION; PREOPERATIVE PERIOD; PRIORITY JOURNAL; RETROGNATHIA; REVIEW; SKILL; SURGEON; SURGICAL TECHNIQUE; TRACHEOSTOMY;

AIRWAY OBSTRUCTION; CHILD, PRESCHOOL; CRANIOFACIAL ABNORMALITIES; HUMANS; MANDIBLE; OSTEOGENESIS, DISTRACTION; PATIENT SELECTION; TRACHEOTOMY;

EID: 9444269225     PISSN: 10689508     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.moo.0000143979.33496.0a     Document Type: Review

References (28)

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11. Mandell DL, Yellon RF, Bradley JP, et al.: Mandibular distraction for micro gnathia and severe upper airway obstruction. Arch Otolaryngol Head Neck Surg 2004, 130:344-348. This article evaluates internal MDO in infants with Robin sequence and severe obstruction, older micrognathic children with OSA, and tracheotomized patients with complex congenital syndromes. Success rates in each group were 88%, 82%, and 17% respectively. The authors recommend more conservative exclusion criteria for MDO in tracheotomized syndromic patients, and recommend more aggressive adjunctive airway procedures when applicable.
12. Izadi K, Yellon R, Mandell DL, et al.: Correction of upper airway obstruction in the newborn with internal mandibular distraction osteogenesis. J Craniofac Surg 2003, 493-499. Tracheotomy avoidance was achieved in 14 of 15 selected newborns with micrognathia and airway obstruction who underwent bilateral MDO using internal microdistractors. Selection criteria, surgical technique, and postoperative management are well described.
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14. Preciado DA, Sidman JD, Sampson DE, et al.: Mandibular distraction to relieve airway obstruction in children with cerebral palsy. Arch Otolaryngol Head Neck Surg 2004, 130:741-745. This is the only published series on mandibular distraction for cerebral palsy-related airway obstruction. Of five carefully selected patients, three of four patients with tracheotomies were successfully decannulated and one child successfully avoided tracheotomy.
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17. McCarthy JG, Katzen T, Hopper R, et al.: The first decade of mandibular distraction: lessons we have learned. Plast Reconstr Surg 2002, 110:1704-1713.
18. Perlyn CA, Schmelzer RE, Sutera SP, et al.: Effect of distraction osteogenesis of the mandible on upper airway volume and resistance in children with micrognathia. Plast Reconstr Surg 2002, 1809-1818.
19. Luchs JS, Stelnicki EJ, Rowe NM, et al.: Molding of the regenerate in mandibular distraction, part I: laboratory study. J Craniofac Surg 2002, 13:205-211.
20. McCarthy JG, Hopper RA, Hollier LH, et al.: Molding of the regenerate in mandibular distraction: clinical experience. Plast Reconstr Surg 2003, 112:1239-1246. This clinical study demonstrated uniform success in 11 patients by molding the regenerate to correct occlusal relationships or to improve the anatomic position of distracted segments. Molding was accomplished through angulation of multidirectional distractors or the application of interdental elastics.
21. Hopper RA, Altug AT, Grayson BH, et al.: Cephalometric analysis of the consolidation phase following bilateral pediatric mandibular distraction. Cleft Palate Craniofac J 2003, 40:233-240. This retrospective study compares serial lateral cephalograms in seven patients who underwent MDO. The consolidation phase was demonstrated to be dynamic, with continuing changes in postdistraction relationships.
22. Juenger TH, Klingmueller V, Howaldt HP: Application of ultrasound in callus distraction of the hypoplastic mandible: an additional method for follow-up. J Craniomaxillofac Surg 1999, 27:160-167.
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24. Hollier LH, Kim JH, Grayson B, et al.: Mandibular growth after distraction in patients under 48 months of age. Plast Reconstr Surg 1999, 103:1361-1370.
25. Stelnicki EJ, Hollier L, Lee C, et al.: Distraction osteogenesis of costochondral bone grafts in the mandible. Plast Reconstr Surg 2002, 109:925-933.
26. Van Strijen PJ, Breuning KH, Becking AG, et al.: Complications in bilateral mandibular distraction osteogenesis using internal devices. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003, 96:392-397. This is a review of complications of internal MDO in 70 patients (mean, 14.2 years). Complications were seen in 28 patients (40%) and included condylar resorption, permanent sensory deficit, distraction failure from technical error, or device malfunction.
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