Use of Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn Female

We present a case of Pierre Robin sequence and Neonatal Abstinence Syndrome (NAS) in a newborn female patient to highlight the surgical technique of mandibular distraction osteogenesis to correct airway obstruction due to micrognathia. The patient presented as a transport after delivery due to respi...

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Main Authors: Seneca Williams, Adam Van Horn
Format: Article
Language:English
Published: Marshall University 2022-04-01
Series:Marshall Journal of Medicine
Subjects:
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author Seneca Williams
Adam Van Horn
author_facet Seneca Williams
Adam Van Horn
author_sort Seneca Williams
collection DOAJ
description We present a case of Pierre Robin sequence and Neonatal Abstinence Syndrome (NAS) in a newborn female patient to highlight the surgical technique of mandibular distraction osteogenesis to correct airway obstruction due to micrognathia. The patient presented as a transport after delivery due to respiratory distress. She was noted to have a cleft palate and micrognathia. The absence of other dysmorphic features diagnosed her with non-syndromic Pierre Robin sequence. To solve her upper airway obstruction, mandibular distraction osteogenesis was performed. This procedure allowed the patient to be weaned from all respiratory support and nasogastric tube feeds by the end of her hospitalization. She was able to be discharged home weeks before her internal hardware was surgically removed. Mandibular distraction osteogenesis was previously unavailable in rural Appalachia, making this case novel to the area. The patient also developed NAS during her hospitalization, highlighting the ongoing substance abuse epidemic in Appalachia.
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spelling doaj.art-1a3ba615ee2f4bb7a800e184dda791642022-12-22T02:54:37ZengMarshall UniversityMarshall Journal of Medicine2379-95362022-04-018210.33470/2379-9536.1368Use of Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn FemaleSeneca Williams0Adam Van Horn1Marshall University Joan C. Edwards School of Medicine, Huntington, West VirginiaMarshall University Joan C. Edwards School of Medicine, Huntington, West VirginiaWe present a case of Pierre Robin sequence and Neonatal Abstinence Syndrome (NAS) in a newborn female patient to highlight the surgical technique of mandibular distraction osteogenesis to correct airway obstruction due to micrognathia. The patient presented as a transport after delivery due to respiratory distress. She was noted to have a cleft palate and micrognathia. The absence of other dysmorphic features diagnosed her with non-syndromic Pierre Robin sequence. To solve her upper airway obstruction, mandibular distraction osteogenesis was performed. This procedure allowed the patient to be weaned from all respiratory support and nasogastric tube feeds by the end of her hospitalization. She was able to be discharged home weeks before her internal hardware was surgically removed. Mandibular distraction osteogenesis was previously unavailable in rural Appalachia, making this case novel to the area. The patient also developed NAS during her hospitalization, highlighting the ongoing substance abuse epidemic in Appalachia.pierre robin sequencemicrognathiaglossoptosisairway obstructionmandibular distraction osteogenesisneonatal abstinence syndrome
spellingShingle Seneca Williams
Adam Van Horn
Use of Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn Female
Marshall Journal of Medicine
pierre robin sequence
micrognathia
glossoptosis
airway obstruction
mandibular distraction osteogenesis
neonatal abstinence syndrome
title Use of Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn Female
title_full Use of Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn Female
title_fullStr Use of Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn Female
title_full_unstemmed Use of Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn Female
title_short Use of Mandibular Distraction Osteogenesis to Correct Micrognathia and Airway Obstruction in Newborn Female
title_sort use of mandibular distraction osteogenesis to correct micrognathia and airway obstruction in newborn female
topic pierre robin sequence
micrognathia
glossoptosis
airway obstruction
mandibular distraction osteogenesis
neonatal abstinence syndrome
work_keys_str_mv AT senecawilliams useofmandibulardistractionosteogenesistocorrectmicrognathiaandairwayobstructioninnewbornfemale
AT adamvanhorn useofmandibulardistractionosteogenesistocorrectmicrognathiaandairwayobstructioninnewbornfemale