Hong Paul, Brake Maria K, Cavanagh Jonathan P, Bezuhly Michael, Magit Anthony E
Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Int J Pediatr Otorhinolaryngol. 2012 Mar;76(3):414-8. doi: 10.1016/j.ijporl.2011.12.023. Epub 2012 Jan 13.
In addition to upper airway obstruction, many patients with micrognathia and Pierre Robin sequence also have swallowing abnormalities and reflux. Many studies have demonstrated the effectiveness in alleviating the airway symptoms with mandibular distraction osteogenesis, but very few studies have focused on feeding and reflux outcomes.
A retrospective chart review was performed to identify patients with Pierre Robin sequence who underwent mandibular distraction osteogenesis with completed pre- and post-operative upper gastroesophageal series and videofluoroscopic swallow assessments.
All six children in our series demonstrated significant improvements in both airway obstructive symptoms and feeding abnormalities. More specifically, all patients showed clinical and objective improvements in reflux and swallowing function after distraction surgery.
Objective and symptomatic improvements in swallowing function and reflux disease can be seen after mandibular distraction osteogenesis in children with Pierre Robin sequence.
除上气道阻塞外，许多小颌畸形和皮埃尔·罗宾序列征患者还存在吞咽异常和反流。许多研究已证明下颌骨牵张成骨术在缓解气道症状方面的有效性，但很少有研究关注喂养和反流结果。
进行一项回顾性病历审查，以确定接受下颌骨牵张成骨术且术前后均完成上消化道造影和视频透视吞咽评估的皮埃尔·罗宾序列征患者。
我们系列中的所有六名儿童在气道阻塞症状和喂养异常方面均有显著改善。更具体地说，所有患者在牵张手术后反流和吞咽功能均有临床和客观改善。
皮埃尔·罗宾序列征儿童接受下颌骨牵张成骨术后，吞咽功能和反流疾病在客观和症状方面均有改善。
