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Costochondral Graft for Severe Obstructive Sleep Apnea in an Infant with Craniofacial Microsomia
Jonathon Wanta, James Gatherwright
University Hospitals
Cleveland, OH
2015-03-15
Presenter: Jonathon Wanta
Affidavit:
The resident, James Gatherwright, and the medical student, Jonathon Wanta, are entirely responsible for the acquisition of data and analysis and interpretation of the data. They are responsible for 90% of the draft and revisions within the write up.
Director Name: Hooman Soltanian
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
Obstructive sleep apnea is a known sequela of craniofacial microsomia and mandibular hypoplasia. Costochondral grafting may alleviate symptoms, but surgery is delayed at least until 2 years of age. Severe cases call for tracheostomy to alleviate airway obstruction in the years preceding costochondral grafting. However, neonatal and pediatric tracheostomy has its own risks and is associated with an overall decreased quality of life for patients and their caregivers. The following case report describes the first successful treatment of obstructive sleep apnea in a child with craniofacial microsomia using a costochondral graft before the age of 1. This case report demonstrates the benefits of early intervention in obviating the need for tracheostomy in select patients.
