Mandibular distraction osteogenesis to relieve Pierre Robin airway obstruction.
Children with Pierre Robin sequence can present challenging airway management issues. We describe a neonate with a life-threatening airway obstruction secondary to severe micrognathia and glossoptosis. When the patient was 9 days old, bilateral distraction osteogenesis was performed to lengthen the mandible by 17 mm. The patient was subsequently extubated without further airway or swallowing difficulties.
Tibesar
Robert J
RJ
Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN 55905, USA.
Price
Daniel L
DL
Moore
Eric J
EJ
D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000379:methods*; D010855:Pierre Robin Syndrome / Q000150:complications*; D014057:Tomography, X-Ray Computed