title: Correction of airway obstruction in congenital micrognathia by mandibular distraction osteogenesis.
abstract: Varying degrees of upper airway obstruction is almost universally present in patients of congenital micrognathia which needs to be corrected as early as possible. This allows appropriate feeding and growth and prevents long-term complications such as pulmonary hypertension and cor pulmonale. We report the case of a tracheostomy-dependent, 4-year-old child with congenital micrognathia who was treated with mandibular distraction osteogenesis. This is the treatment of choice for surgical correction of mandibular hypoplasia and for the challenging airway management in infants. Once a bone length of 2 cm was achieved through distraction osteogenesis, the child was completely relieved of respiratory obstruction and tracheostomy tube was removed through the process of decannulation.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi.
authors.forename: Syed Gulzar
authors.initials: SG
authors.lastname: Ali Bukhari
authors.forename: Sarfaraz
authors.initials: S
authors.lastname: Khan
authors.forename: Waseem
authors.initials: W
authors.lastname: Ahmed
authors.forename: Muhammad
authors.initials: M
authors.lastname: Ashfaq
authors.forename: Shahid Iqbal
authors.initials: SI
authors.lastname: Khan
authors.lastname: Abdullah
mesh_terms: D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery*; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000002:abnormalities* / Q000601:surgery; D019186:Mandibular Advancement / Q000379:methods; D008844:Micrognathism / Q000150:complications / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000379:methods*