Mid-term effect of mandibular distraction osteogenesis on clinical and polysomnography findings of patients with Robin sequence

The study aimed to evaluate the mid-term effect of MDO in children with Robin sequence (RS). In this case series, 13 patients with RS who underwent MDO were followed up for more than 5 years. Data were collected using clinical history and physical examination. Polysomnography was performed and endos...

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Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 2024-01, Vol.52 (1), p.55-58
Main Authors: dos Santos, Marcele Oliveira, Manica, Denise, Cauduro Marostica, Paulo José, Kuhl, Leonardo Palma, Collares, Marcus Vinícius, Schweiger, Cláudia
Format: Article
Language:English
Subjects:
Airway Obstruction - diagnosis
Airway Obstruction - etiology
Airway Obstruction - surgery
Apnea
Child
Distraction osteogenesis
Glossoptosis
Humans
Infant
Mandible - surgery
Micrognathism
Obstructive sleep apnea
Osteogenesis, Distraction
Pierre Robin syndrome
Pierre Robin Syndrome - surgery
Polysomnography
Retrospective Studies
Treatment Outcome
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Summary:The study aimed to evaluate the mid-term effect of MDO in children with Robin sequence (RS). In this case series, 13 patients with RS who underwent MDO were followed up for more than 5 years. Data were collected using clinical history and physical examination. Polysomnography was performed and endoscopic evaluations of the airway was performed if patients still presented obstructive signs of upper airways and/or dysphagia. The patients’ clinical signs improved in the mid-term after versus before MDO (inspiratory noise, 92,3% vs 30,8%; apnea, 84,6% vs 7,7%; cyanosis, 76,9% vs 0%; desaturations, 69,2% vs 0%; and suprasternal/intercostal retractions, 61,5% vs 0%; p 
ISSN:1010-5182
1878-4119
DOI:10.1016/j.jcms.2023.08.004