1/14/2024 0 Comments Pierre robin sequence in utero![]() ![]() The parents are instructed on how to turn the distraction device and typically patients are seen back in the office on a weekly basis. This procedure takes approximately 3 hours and the patient remains in the hospital 2-3 days after surgery. Usually this takes less than one week to bring the mandible (lower jaw) forward with the upper jaw, creating a more normal anatomic jaw and improved airway relationship. This process allows for the slow forward movement of the jaw and surrounding soft tissues, resulting in an immediate change in the anatomic airway. This is done to avoid the need for a definitive breathing tube, a tracheostomy, which once placed remains in often for 4-5 years prior to any opportunity for safe removal. If the airway is extremely compromised, bilateral mandibular osteotomies with distraction osteogenesis may be performed. The first step to correction is dependent on the patient’s airway stability. The benefit of this less intrusive procedure is no visible facial scars. This adhesion is released at a later date after the goals of improved feeding and growth have allowed the airway to enlarge. Sometimes a tongue lip adhesion may be performed, sewing the posteriorly displaced tongue forward to the inside of the lower lip and in turn opening the airway. In more mild cases, the neonate may be placed in a prone position, or a nasopharyngeal tube may be inserted through the nose to maintain airway patency. If left untreated, patients have problems with feeding, obstructive sleep apnea, ear infections and reduced hearing. Initially when airway obstruction occurs, the primary goal is to create an adequate airway by using distractor techniques that prevent the need for a tracheostomy. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |