title: Carotid artery dissection and stroke complicating treatment of postmandibular distraction ankylosis: a case report.
abstract: Mandibular distraction osteogenesis is an increasingly accepted treatment option for severe upper airway obstruction in grade 3 Robin sequence. Complications are rarely reported but can include fracture, pin dislodgement, tooth bud damage, and temporomandibular joint ankylosis. Operative correction of these complications can carry inherent risks of their own. We present a patient who incurred carotid artery dissection and stroke after release of postdistraction coronoid-zygomatic ankylosis for the treatment of mandibular micrognathia.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Arnspiger
authors.forename: John M
authors.initials: JM
authors.lastname: Felder
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: Wood
authors.forename: Gary F
authors.initials: GF
authors.lastname: Rogers
authors.forename: Albert K
authors.initials: AK
authors.lastname: Oh
mesh_terms: D000402:Airway Obstruction / Q000601:surgery*; D000844:Ankylosis / Q000209:etiology* / Q000601:surgery*; D020215:Carotid Artery, Internal, Dissection / Q000209:etiology*; D002675:Child, Preschool; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008342:Mandibulofacial Dysostosis / Q000601:surgery*; D008844:Micrognathism / Q000601:surgery*; D019857:Osteogenesis, Distraction; D010855:Pierre Robin Syndrome / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D020521:Stroke / Q000209:etiology*
keywords: Robin sequence; Treacher Collins syndrome; distraction osteogenesis; mandibular distraction; mandibular pseudoankylosis; micrognathia; stroke; surgical complications