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Published: 2023-01-30
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DOI: https://doi.org/10.52852/tcncyh.v160i12V2.1281
Issue
Vol. 160 No. 12V2 (2022)
Section
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How to Cite
Thơm, Đặng H., Lâm , V. N., & Sơn, T. T. (2023). 25. Short-term clinical, functional and radiographic outcomes after mandibular distraction osteogenesis surgery to treat severe Pierre Robin Sequence. Journal of Medical Research, 160(12V2), 206-216. https://doi.org/10.52852/tcncyh.v160i12V2.1281

25. Short-term clinical, functional and radiographic outcomes after mandibular distraction osteogenesis surgery to treat severe Pierre Robin Sequence

Dang Hoang Thom, Vu Ngoc Lam, Tran Thiet Son

Main Article Content

Abstract

This study aimed to describe the short-term clinical, functional and radiographic outcomes of after mandibular distraction osteogenesis (MDO) surgery. A retrospective review of 34 infants with Pierre Robin Sequence who underwent mandibular distraction osteogenesis surgery was conducted at the Vietnam National Children's Hospital. Female children accounted for 52.94%, and boys were 47.06%. There were 6/34 (17.65%) patients with Pierre Robin syndrome, and 28/34 (82.35%) with Pierre Robin alone. All children had hypoplasia of the jaw bone, small jaw, crow's beak face; 33/34 (97.06%) had tongue drop, difficulty breathing, difficulty sucking; 31/34 (91.18%) had gastric reflux; and 15/34 (44/12%) had cleft palate U and V. All children needed respiratory support, with 13/34 (38.24%) were intubated and 2/34 (5.88%) received CPAP. Early results after MDO surgery showed that the gap between the upper and lower jaws was significantly reduced compared to before surgery; the length of the body and ramus, and the space behind the throat on X-ray increased significantly compared to before surgery (p < 0.05). MDO surgery is a safe and effective treatment for Pierre Robin Syndrome, and more research is needed to assess long-term outcomes after MDO surgery.

Article Details

Keywords

clinical features, X-ray, mandibular distraction osteogenesis, Pierre Robin with a severe form

References

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