Infants with Pierre Robin sequence characteristically suffer from gestational micrognathia resulting in development of congenital glossoptosis, putting them at high risk for life-threatening upper airway obstruction. Airway management needs often necessitate prolonged NICU hospitalization. Heterogeneity of presentation leaves much to be desired in terms of data-driven risk stratification and surgical planning for this population. The decision to proceed with mandibular distraction is multifactorial, incorporating the patient's respiratory status, comorbidities, family preferences, physician preference, and availability of procedure. Mandibular distraction osteogenesis surgery is a definitive treatment, with effective elimination of soft-tissue obstruction of the micrognathic airway regardless of the patient’s syndromic picture. Standardized, reproducible measurements ensuring fit prior to distractor placement allow selection for mandibular distraction osteogenesis surgery at a younger age. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Mayock Patrick, Francis Stacey, Dang Jeannie, Peng Lauren

Keywords: Mandibular, Ramus, Osteogenesis