Bilateral pediatric mandibular distraction for micrognathia with temporomandibular joint ankylosis and sleep apnea

Indian Journal of Dental Research : Official Publication of Indian Society for Dental Research
S M Balaji

Abstract

Mandibular retrognathism is one of the important contributing anatomical factors to the obstructive sleep apnea (OSA). Such patients suffer from number of apneic or hypopneic events during sleep such as snoring, daytime sleepiness, fatigue, inability to concentrate, and irritability. Distraction osteogenesis is a less invasive surgical technique in the management of OSA by correcting the reduced airway space. Apart from correcting functional disturbances due to OSA, it also corrects the facial profile resulting in the substantial improvement in cosmetic appearance. We report a case of a 3-year-old boy who was struggling with severe retrognathic chin and OSA causing hypopneic episodes and snoring. He was successfully treated by bilateral mandibular distraction which resulted in significant improvement of respiratory distress and feeding as well as evidential advancement of the mandible was achieved.

References

May 1, 1992·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·R V Argamaso
Jan 1, 1996·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·M Chin, B A Toth
Apr 1, 1996·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·P A DinerM P Vazquez
Dec 25, 2002·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Richard E KirschnerDon LaRossa
Feb 28, 2014·Plastic and Reconstructive Surgery·Youssef TahiriMirko Gilardino

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Citations

Jan 25, 2019·The Journal of Craniofacial Surgery·Elaine DongEdward P Buchanan
Nov 21, 2019·Indian Journal of Dental Research : Official Publication of Indian Society for Dental Research·S M Balaji, Preetha Balaji

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