Mandibular Distraction Osteogenesis in the Micrognathic Neonate: A Review for Neonatologists and Pediatricians

In the past, severe neonatal upper airway obstruction secondary to micrognathia was managed with a tracheostomy. Although effective, tracheostomy can cause many short-term and long-term complications. More recently, mandibular distraction osteogenesis (MDO) has become a well-accepted surgical option...

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Main Authors: Paul Hong, Michael Bezuhly
Format: Article
Language:English
Published: Elsevier 2013-06-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957212002239
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author Paul Hong
Michael Bezuhly
author_facet Paul Hong
Michael Bezuhly
author_sort Paul Hong
collection DOAJ
description In the past, severe neonatal upper airway obstruction secondary to micrognathia was managed with a tracheostomy. Although effective, tracheostomy can cause many short-term and long-term complications. More recently, mandibular distraction osteogenesis (MDO) has become a well-accepted surgical option in treating micrognathic newborns. Overall, MDO has been reported to be an effective intervention in alleviating the micrognathia-associated airway compromise. Furthermore, it seems to be well tolerated and has supplanted the need for tracheostomy in many patients. Neonatologists and pediatricians commonly care for these children, and therefore an up-to-date clinical narrative review regarding MDO is presented to increase the awareness of this relatively new surgical option.
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spelling doaj.art-3a9f641cb4af4b77a4b85eeab421d73a2022-12-21T18:43:33ZengElsevierPediatrics and Neonatology1875-95722013-06-0154315316010.1016/j.pedneo.2012.11.018Mandibular Distraction Osteogenesis in the Micrognathic Neonate: A Review for Neonatologists and PediatriciansPaul Hong0Michael Bezuhly1IWK Health Centre, Dalhousie Pediatric Craniofacial Group, Halifax, Nova Scotia, CanadaIWK Health Centre, Dalhousie Pediatric Craniofacial Group, Halifax, Nova Scotia, CanadaIn the past, severe neonatal upper airway obstruction secondary to micrognathia was managed with a tracheostomy. Although effective, tracheostomy can cause many short-term and long-term complications. More recently, mandibular distraction osteogenesis (MDO) has become a well-accepted surgical option in treating micrognathic newborns. Overall, MDO has been reported to be an effective intervention in alleviating the micrognathia-associated airway compromise. Furthermore, it seems to be well tolerated and has supplanted the need for tracheostomy in many patients. Neonatologists and pediatricians commonly care for these children, and therefore an up-to-date clinical narrative review regarding MDO is presented to increase the awareness of this relatively new surgical option.http://www.sciencedirect.com/science/article/pii/S1875957212002239distraction osteogenesismandiblemicrognathiaPierre Robin sequenceupper airway obstruction
spellingShingle Paul Hong
Michael Bezuhly
Mandibular Distraction Osteogenesis in the Micrognathic Neonate: A Review for Neonatologists and Pediatricians
Pediatrics and Neonatology
distraction osteogenesis
mandible
micrognathia
Pierre Robin sequence
upper airway obstruction
title Mandibular Distraction Osteogenesis in the Micrognathic Neonate: A Review for Neonatologists and Pediatricians
title_full Mandibular Distraction Osteogenesis in the Micrognathic Neonate: A Review for Neonatologists and Pediatricians
title_fullStr Mandibular Distraction Osteogenesis in the Micrognathic Neonate: A Review for Neonatologists and Pediatricians
title_full_unstemmed Mandibular Distraction Osteogenesis in the Micrognathic Neonate: A Review for Neonatologists and Pediatricians
title_short Mandibular Distraction Osteogenesis in the Micrognathic Neonate: A Review for Neonatologists and Pediatricians
title_sort mandibular distraction osteogenesis in the micrognathic neonate a review for neonatologists and pediatricians
topic distraction osteogenesis
mandible
micrognathia
Pierre Robin sequence
upper airway obstruction
url http://www.sciencedirect.com/science/article/pii/S1875957212002239
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