Ali Bukhari Syed Gulzar, Khan Sarfaraz, Ahmed Waseem, Ashfaq Muhammad, Khan Shahid Iqbal
Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi.
J Coll Physicians Surg Pak. 2011 Jul;21(7):423-5.
Varying degrees of upper airway obstruction is almost universally present in patients of congenital micrognathia which needs to be corrected as early as possible. This allows appropriate feeding and growth and prevents long-term complications such as pulmonary hypertension and cor pulmonale. We report the case of a tracheostomy-dependent, 4-year-old child with congenital micrognathia who was treated with mandibular distraction osteogenesis. This is the treatment of choice for surgical correction of mandibular hypoplasia and for the challenging airway management in infants. Once a bone length of 2 cm was achieved through distraction osteogenesis, the child was completely relieved of respiratory obstruction and tracheostomy tube was removed through the process of decannulation.
先天性小颌畸形患者几乎普遍存在不同程度的上呼吸道梗阻，需要尽早纠正。这有助于适当的喂养和生长，并预防诸如肺动脉高压和肺心病等长期并发症。我们报告一例4岁依赖气管造口术的先天性小颌畸形患儿，其接受了下颌骨牵张成骨治疗。这是下颌骨发育不全手术矫正及婴儿气道管理难题的首选治疗方法。通过牵张成骨达到2厘米的骨长度后，患儿呼吸梗阻完全缓解，气管造口管通过拔管过程拔除。
