Mandibular distraction in a neonate with muscular dystrophy.
The following case report describes the successful use of distraction osteogenesis (DO) for the treatment of hypoplasia of the mandible in a patient with muscular dystrophy (MD). While DO has been used for hypoplasia of the mandible, no evidence exists that is it safe in the setting of MD. MD is a disease that primarily affects skeletal muscle; however, pathologic changes in the adjacent bone have been described. Furthermore, the healing of involved bone may be problematic, making DO a potentially unsuccessful technique in this group of patients. This report is the first successful utilization of DO for the treatment of mandibular hypoplasia in a patient with MD.
Taub
Peter J
PJ
Division of Plastic and Reconstructive Surgery, Maria Fareri Children's Hospital, Valhalla, NY, USA. taubp@wcmc.com
Koch
R Michael
RM
Merer
David
D
Geldzahler
Gerald
G
Geldzhaler
Gerald
G
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008334:Mandible / Q000002:abnormalities* / Q000601:surgery*; D009136:Muscular Dystrophies / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000379:methods*