Galié Manlio, Candotto Valentina, Elia Giovanni, Clauser Luigi C
Unit of Cranio Maxillo Facial Surgery, Reference Center for Rare Craniofacial Anomalies, European Association for Cranio Maxillofacial Surgery, International Teaching Center Network, St. Anna Hospital and University, Ferrara, Italy.
J Craniofac Surg. 2017 Jul;28(5):1185-1190. doi: 10.1097/SCS.0000000000003612.
Distraction osteogenesis (DO) has been one of the most innovative concepts in cranio-maxillofacial syndromology and surgery over the last 25 years.Early mandibular distraction in severe micrognathia has recently been recognized as an effective treatment option to safely relieve upper airway obstruction associated with mandibular deficiency.An increased incidence in temporomandibular joint complications during DO in neonates has recently been reported, especially in syndromic patients.The authors report 2 children affected by severe micrognathia and severe respiratory distress at birth.Early DO was performed during the first 2 months of the life in another institution with the aim of increasing mandibular length and upper airway size.Both the patients had severe restricted jaw opening after DO and mandibular abnormalities.Temporomandibular joint ankylosis after early mandibular distraction could be a considered a new pathological entity.
在过去25年里，牵张成骨术（DO）一直是颅颌面综合征学和外科领域最具创新性的概念之一。严重小下颌畸形的早期下颌牵张术最近被认为是一种有效的治疗选择，可安全缓解与下颌骨发育不全相关的上呼吸道梗阻。最近有报道称，新生儿在DO治疗期间颞下颌关节并发症的发生率增加，尤其是综合征患者。作者报告了2例出生时患有严重小下颌畸形和严重呼吸窘迫的儿童。在另一家机构，在出生后的头2个月内进行了早期DO，目的是增加下颌长度和上呼吸道尺寸。两名患者在DO后均出现严重的张口受限和下颌骨异常。早期下颌牵张术后的颞下颌关节强直可被视为一种新的病理实体。
