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Can Mandibular Distraction Safely Be Done in Children Under Six Months Old with Pierre Robin Sequence?
Stephen Lopez, MD
Ananth Murthy, MD
Suraj Batish, MS
Summa Health
2016-02-01
Presenter: Michael DePerro III, MD
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. The program director is responsible for making a statement within the confines of the box below specific to how much of the work on this project represents the original work of the resident. All authors/submitters of each abstract should discuss this with their respective program director for accurate submission of information as well as the program director's approval for inclusion of his/her electronic signature.
Director Name: Douglas Wagner, MD
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
Title:
Can Mandibular Distraction Safely Be Done in Children Under Six Months Old with Pierre Robin Sequence?
OBJECTIVE:
To review one surgeon's experience with mandibular distraction in children younger than six months of age with Pierre Robin Sequence (PRS) and compare our rate of complications versus our older patients.
METHODS:
We reviewed one surgeon's experience with 26 consecutive patients with PRS who underwent mandibular distraction. We specifically looked at the patient's age at the time of mandibular distraction, rate of pin site infection, nerve injuries, hardware complications, and the number of patients that needed a second mandibular distraction. We looked at the rate of these complications in our patients that were under six months of age versus those that were older than six months at the time of their initial surgery.
RESULTS:
Our patient's average age was 195 days. 21 of our 26 patients were under six months old and had an average age of 53.6 days. Of our patients under six months old, one developed a pin site infection, three suffered a neurapraxia, three had a complication with their hardware, and two eventually needed a second mandibular distraction. Our 5 patients over six months old had an average age of 787.6 days. In this group, one developed a pin site infection, one suffered a neurapraxia, there were no hardware complications, and none needed a second mandibular distraction.
CONCLUSIONS:
Mandibular distraction can safely be performed in children under six months of age and they appear to have similar complication rates compared to older children.
