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- Title
Mandibular distraction osteogenesis for neonates with Pierre Robin sequence and airway obstruction.
- Authors
Cicchetti, Roberto; Cascone, Piero; Caresta, Elena; Papoff, Paola; Miano, Silvia; Cerasaro, Carla; Ramieri, Valerio; Midulla, Fabio; Moretti, Corrado
- Abstract
Neonates with Pierre Robin Sequence (PRS) usually present with varying degrees of upper airway obstruction and difficulty feeding. Early treatment is important for such children in order to prevent impaired cognitive development resulting from hypoxemic episodes. Various procedures aimed at widening the pharyngeal space have been proposed, including prone position, tongue-lip adhesion, mandibular traction, non-invasive ventilation and palatal plates. Mandibular distraction osteogenesis (MDO) using external or internal devices has become increasingly popular as an alternative treatment option when other medical or surgical techniques do not prove to be satisfactory. This review summarizes current evidence on the effectiveness of MDO in infants with PRS. Because of a lack of studies comparing this treatment with other procedures, general recommendations cannot be drawn and treatment of infants with PRS still requires individualization.
- Publication
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2012, Vol 25 Suppl 4, p141
- ISSN
1476-4954
- Publication type
Journal Article
- DOI
10.3109/14767058.2012.715011