A novel nonoperative technique in the initial management and treatment of congenital microstomia
| Autor: | Amy Bouvier, Eric Stelnicki, Jose Larumbe, Kristen M. Rezak, Brian Olack |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Osteogenesis Distraction Tongue Microglossia Microstomia medicine Twins Dizygotic Humans Craniofacial Gastrostomy business.industry Infant Newborn medicine.disease Hypoplasia Surgery stomatognathic diseases Splints medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Distraction osteogenesis Oral Surgery business Tomography X-Ray Computed |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. 49(3) |
| ISSN: | 1545-1569 |
| Popis: | Congenital microstomia in the newborn can result in poor functional and aesthetic outcomes. In the past, treatment options have included surgical methods such as commissurotomies and z-plasties as well as nonsurgical treatments using oral splints. In severe microstomia, a surgical release may be required to permit splint placement. Because of the small diameter of the stoma, such surgical releases are not optimal and frequently must be repeated. We devised a nonoperative technique for the initial treatment of congenital microstomia that will slowly enlarge the stomal diameter without the need for surgical release. The patient is a newborn male born with multiple congenital anomalies including severe mandibular hypoplasia and retrusion, microstomia, and microglossia. The size of his oral cavity was less than 1 cm at birth with no clinical signs of a tongue. After initial dilation in the operating room with Hagar dilators, the oral stoma was serially dilated using Boston Scientific esophageal balloons. Once full dilation was achieved, we fabricated oral splints to continue the dilation process while maintaining oral competence with no surgical intervention. |
| Databáze: | OpenAIRE |
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