Cleft Palate Team, Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital, PO Box 85090, 3508 AB Utrecht, The Netherlands.
Clin Oral Investig. 2012 Aug;16(4):1325-31. doi: 10.1007/s00784-011-0624-x. Epub 2011 Oct 19.
Pierre Robin sequence is a well known craniofacial entity. There are numerous ways to treat the respiratory insufficiency, but sometimes surgical intervention is needed. Tracheotomy could be associated with morbidity, and distraction osteogenesis has been established as a stable method to obtain a safe airway. Distraction osteogenesis has traditionally been performed with an external device. In this manuscript we describe the feasibility of an internal bioresorbable device. Retrospective descriptive study was performed in a tertiary academic children's hospital. After multidisciplinary team consultation, 12 consecutive patients with Robin sequence were treated with this internal distraction device. The mean age at surgery was 32 days, and the average amount of mandibular distraction was 18 mm. All patients were extubated after an average of 7.5 days after the surgery. The average length of stay in the hospital was 17 days after surgery. There were no major surgical complications. A tracheotomy was prevented in all our patients, and complications were limited. Long-term studies are needed to evaluate the influence that internal distraction has on the growth of the mandible and teeth. The internal distraction system seems safe for infants with micrognathia and has certain benefits when compared to the external distractor.
Pierre Robin 序列是一种众所周知的颅面畸形。有许多方法可以治疗呼吸功能不全，但有时需要手术干预。气管切开术可能会引起并发症，而牵引成骨术已被确立为一种获得安全气道的稳定方法。牵引成骨术传统上采用外部设备进行。在本文中，我们描述了一种内部可吸收装置的可行性。在一家三级学术儿童医院进行了回顾性描述性研究。经过多学科团队咨询，12 例 Robin 序列患者采用这种内部牵引装置进行治疗。手术时的平均年龄为 32 天，下颌骨平均牵引距离为 18 毫米。所有患者在手术后平均 7.5 天即可拔管。术后平均住院时间为 17 天。没有发生重大手术并发症。我们所有的患者都避免了气管切开术，并发症也有限。需要进行长期研究来评估内部牵引对下颌骨和牙齿生长的影响。与外部牵引器相比，内部牵引系统似乎对小下颌的婴儿是安全的，并且具有一定的优势。
