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 Vol. 8 No. 5, November 2002
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AAP Grand Rounds 8:57 (2002)
© 2002 American Academy of Pediatrics

PLASTIC SURGERY

A New Strategy to Avoid Tracheostomy in Neonates with Pierre Robin Sequence

Source: Denny A, Kalantarian B. Mandibular distraction in neonates: a strategy to avoid tracheostomy. Plast Reconstr Surg. 2002;109:896–904.[Medline]

The first 20% of the full text of this article appears below.

The authors from the Medical College of Wisconsin report on their experience with mandibular distraction in 5 neonates with Pierre Robin sequence (mean age 14.5 days). Mandibular distraction employs surgically placed pins, wires and orthopedic devices to allow advancement of the mandible by 1–2 mm per day. All patients had retrognathia, glossoptosis, incomplete cleft palate, inability to control the airway during feeding, and resting oxygen saturations in the 70–80% range. Subjects underwent a multispecialty . . . [Full Text of this Article]

Fernando D. Burstein, MD, FAAP, FACS
Plastic Surgery, Childrens Healthcare of Atlanta, Atlanta, GA

 





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