Neonatal Mandibular Distraction Osteogenesis Reduces Cleft Palate Width and Lengthens Soft Palate, Influencing Palatoplasty in Patients With Pierre Robin Sequence
| Autor: | Gustavo Juliani Faller, Mariana Miguel Fraga, Daniele Walter Duarte, Marcus V. M. Collares, Davi Sandes Sobral, Ciro Paz Portinho |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Osteogenesis Distraction Mandible 03 medical and health sciences 0302 clinical medicine medicine Humans Abnormalities Multiple In patient Prospective Studies 030223 otorhinolaryngology Prospective cohort study Orthodontics Robin Sequence Pierre Robin Syndrome Soft palate business.industry Infant Newborn 030206 dentistry General Medicine Plastic Surgery Procedures Cleft Palate medicine.anatomical_structure Palatoplasty Otorhinolaryngology Mandibular distraction Retromolar space Orthopedic surgery Female Surgery Palate Soft business Follow-Up Studies |
| Zdroj: | Journal of Craniofacial Surgery. 27:1267-1272 |
| ISSN: | 1049-2275 |
| Popis: | The aim of this study was to evaluate the influence of neonatal mandibular distraction osteogenesis (MDO) on cleft dimensions and on early palatoplasty outcomes in patients with Pierre Robin Sequence (PRS). In a prospective cohort study that enrolled 24 nonsyndromic patients with PRS, 12 submitted to the MDO group and 12 patients not treated (non-MDO group), the authors compared patients for cleft palate dimensions through 7 morphometric measurements at the moment of palatoplasty and for early palatoplasty outcomes. At palatoplasty, the MDO group presented a significant shorter distance between the posterior nasal spines (PNS-PNS, P < 0.001) and between uvular bases (UB-UB, P < 0.001), representing a reduction in cleft palate width. They also had significant soft palate lengthening represented by a larger distance between UB and retromolar space (UB-RM, P < 0.001) and UB and PNS (UB-PNS, P = 0.014). Their UB moved away from the posterior wall of the nasopharynx (UB-NPH, P < 0.001). The MDO group had a length of operative time significantly shorter (P < 0.001) and no early palatoplasty complications compared with the non-MDO group. In conclusion, MDO acted as an orthopedic procedure that reduced cleft palate width and elongated the soft palate in patients with PRS. These modifications enabled a reduction of around 11% in the length of operative time of palatoplasty (P < 0.001). |
| Databáze: | OpenAIRE |
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