Advantages and disadvantages of mandibular distraction in Robin sequence

2021 ◽  
pp. 101283
Author(s):  
Corstiaan C. Breugem ◽  
Robrecht JH. Logjes ◽  
Jitske W. Nolte ◽  
Roberto L. Flores
Keyword(s):  
Mandibular Distraction ◽  
Advantages And Disadvantages ◽  
Robin Sequence

A Systematic Review of Mandibular Distraction Osteogenesis Versus Orthodontic Airway Plate for Airway Obstruction Treatment in Pierre Robin Sequence

2021 ◽  
pp. 105566562110118
Author(s):  
Darren B. Abbas ◽  
Christopher Lavin ◽  
Evan J. Fahy ◽  
HyeRan Choo ◽  
Mai Thy Truong ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Distraction Osteogenesis ◽  
Literature Search ◽  
Oral Feeding ◽  
Treatment Modalities ◽  
Pierre Robin Sequence ◽  
Mandibular Distraction ◽  
Robin Sequence ◽  
Mandibular Distraction Osteogenesis ◽  
Pierre Robin

Objective: Mandibular distraction osteogenesis (MDO) is frequently performed to address airway obstruction in patients with Pierre Robin sequence (PRS), though more recently the technique of orthodontic airway plating (OAP) has gained traction. We aimed to evaluate OAP compared to MDO for airway obstruction in PRS. Design: A systematic literature search across PubMed, Embase, and Google Scholar identified all studies published in English, which involved MDO or any form of OAP as treatments for PRS. All relevant articles were reviewed in detail and reported on, adhering to PRISMA guidelines. Main Outcome Measures: Airway (tracheostomy avoidance, decannulation rate), feeding (full oral feeding tolerance). Results: Literature search identified 970 articles, of which 42 MDO studies and 9 OAP studies met criteria for review. A total of 1159 individuals were treated with MDO, and 322 individuals were treated with OAP. Primary outcomes appear similar for MDO and OAP at face value; however, this must be interpreted with different pretreatment contexts in mind. Conclusions: Orthodontic airway plating may be considered for airway obstruction in PRS, as some airway-related and feeding-related outcomes appear similar with MDO, per existing evidence in the literature. However, since PRS severity differed between studies, OAP cannot be uniformly considered a replacement for MDO. Further research is required to more comprehensively assess these treatment modalities inclusive of metrics that allow for direct comparison.

Spatial Analysis of the Temporomandibular Joint and Condyle Following Mandibular Distraction in Robin Sequence

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Navid Pourtaheri ◽  
Ludmila Chandler ◽  
Anusha Singh ◽  
Seija Maniskas ◽  
Alexander T. Wilson ◽  
...  
Keyword(s):  
Spatial Analysis ◽  
Temporomandibular Joint ◽  
Mandibular Distraction ◽  
Robin Sequence

Device Malfunction Associated With Mandibular Distraction for Infants With Robin Sequence

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Monica Manrique ◽  
Jeniffer L. McGrath ◽  
Justin R. Bryant ◽  
Esperanza Mantilla-Rivas ◽  
Md Sohel Rana ◽  
...  
Keyword(s):  
Mandibular Distraction ◽  
Device Malfunction ◽  
Robin Sequence

Facial Nerve Dysfunction After Mandibular Distraction Osteogenesis in Patients with Robin Sequence: A Systematic Review and Meta-Analysis

2022 ◽  
pp. 105566562110707
Author(s):  
Elina Kapoor ◽  
Esperanza Mantilla-Rivas ◽  
Md Sohel Rana ◽  
Marudeen Aivaz ◽  
Daniela Duarte-Bateman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Facial Nerve ◽  
Distraction Osteogenesis ◽  
Meta Analysis ◽  
Mandibular Distraction ◽  
Robin Sequence ◽  
Published Evidence ◽  
Mandibular Distraction Osteogenesis ◽  
Nerve Dysfunction ◽  
Distraction Rate

Objective Robin Sequence (RS), characterized by micrognathia, glossoptosis, and upper airway obstruction, is an increasingly recognized diagnosis. An effective surgical intervention is mandibular distraction osteogenesis (MDO). This study analyzes published evidence regarding facial nerve dysfunction (FND) associated with MDO. Design and Setting According to PRISMA guidelines, a systematic review was carried out with databases queried in June 2019 using MESH terms, or equivalent terms, as follows: “distraction osteogenesis” and “Robin Sequence”. A review of original Spanish and English articles, were included. Outcome measures included the prevalence of FND; the affected branches; the rate of permanent vs. transient FND; the use of an internal vs. external device; the daily distraction rate; and finally, the overall distraction length. Subsequently, a meta-analysis was conducted to collate results regarding the prevalence of FND and the factors associated with it. Results Of 239 unique studies identified, 19 studies with 729 patients met inclusion criteria; 52 patients developed FND after MDO. A random-effects meta-analysis yielded a pooled prevalence of FND of 6.40%, with moderately heterogeneous studies (I2 = 41%, τ2 = 0.006). Marginal mandibular nerve involvement was most commonly noted. Nine studies reported transient FND, six permanent, one both, and two unspecified. Internal distractors were used in 8 studies and external in 3 and both in 2. Distraction rate was 1.00 to 2.00 mm/day and total distraction length ranged from 13.00 to 22.3 mm. Sample size was the only parameter inversely associated with rate of FND (p = 0.04). Conclusion This analysis of FND associated with MDO for patients with RS demonstrates a lack of consistent documentation. MDO-associated FND does not appear to be uncommon, and permanent dysfunction can occur. This review underscores the importance of thorough documentation to elucidate the mechanism of FND.

A systematic review on the outcome of mandibular distraction osteogenesis in infants suffering Robin sequence

2013 ◽  
Vol 17 (8) ◽  
pp. 1807-1820 ◽  
Author(s):  
Emma C. Paes ◽  
Aebele B. Mink van der Molen ◽  
Marvick S. M. Muradin ◽  
Lucienne Speleman ◽  
Frea Sloot ◽  
...  
Keyword(s):  
Systematic Review ◽  
Distraction Osteogenesis ◽  
Mandibular Distraction ◽  
Robin Sequence ◽  
Mandibular Distraction Osteogenesis

Sleep Outcomes in Neonates with Pierre Robin Sequence Undergoing External Mandibular Distraction: A Longitudinal Analysis

2020 ◽  
Vol 146 (5) ◽  
pp. 1103-1115 ◽  
Author(s):  
Zarmina Ehsan ◽  
K. Nicole Weaver ◽  
Brian S. Pan ◽  
Guixia Huang ◽  
Md M. Hossain ◽  
...  
Keyword(s):  
Longitudinal Analysis ◽  
Pierre Robin Sequence ◽  
Mandibular Distraction ◽  
Robin Sequence ◽  
Pierre Robin
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