Midface distraction to alleviate upper airway obstruction in achondroplastic dwarfs
The use of midface distraction in patients with achondroplasia and upper airway obstruction secondary to midface hypoplasia has not been reported. In this report, we review the treatment of two patients with severe midface hypoplasia and obstructive sleep apnea secondary to achondroplasia using midf...
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Veröffentlicht in: | The Cleft palate-craniofacial journal 2003, Vol.40 (1), p.100-103 |
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creator | ELWOOD, Eric T BURSTEIN, Fernando D GRAHAM, Leroy WILLIAMS, Joseph K PASCHAL, Michelle |
description | The use of midface distraction in patients with achondroplasia and upper airway obstruction secondary to midface hypoplasia has not been reported. In this report, we review the treatment of two patients with severe midface hypoplasia and obstructive sleep apnea secondary to achondroplasia using midface distraction osteogenesis.
Two patients with achondroplastic dwarfism and midface hypoplasia with airway obstruction were treated in a tertiary referral center for craniofacial disorders.
Both patients had their tracheostomies decannulated after midface distraction of 25 mm. Midface distraction osteogenesis is useful to alleviate upper airway obstruction from midface hypoplasia seen in achondroplasia. |
doi_str_mv | 10.1597/1545-1569(2003)040<0100:mdtaua>2.0.co;2 |
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Two patients with achondroplastic dwarfism and midface hypoplasia with airway obstruction were treated in a tertiary referral center for craniofacial disorders.
Both patients had their tracheostomies decannulated after midface distraction of 25 mm. Midface distraction osteogenesis is useful to alleviate upper airway obstruction from midface hypoplasia seen in achondroplasia.</description><identifier>ISSN: 1055-6656</identifier><identifier>EISSN: 1545-1569</identifier><identifier>DOI: 10.1597/1545-1569(2003)040<0100:mdtaua>2.0.co;2</identifier><identifier>PMID: 12498613</identifier><language>eng</language><publisher>Chapel, Hill, NC: American Cleft Palate-Craniofacial Association</publisher><subject>Achondroplasia - surgery ; Airway Obstruction - etiology ; Airway Obstruction - surgery ; Biological and medical sciences ; Child ; Child, Preschool ; Constriction, Pathologic - surgery ; Dentistry ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Female ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Male ; Maxilla - abnormalities ; Maxilla - surgery ; Maxillofacial surgery. Dental surgery. Orthodontics ; Medical sciences ; Nasopharynx - pathology ; Non tumoral diseases ; Osteogenesis, Distraction ; Osteotomy, Le Fort ; Otorhinolaryngology. Stomatology ; Sleep Apnea, Obstructive - etiology ; Sleep Apnea, Obstructive - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tracheostomy</subject><ispartof>The Cleft palate-craniofacial journal, 2003, Vol.40 (1), p.100-103</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c367t-e553d069ecdc33741171524790637d931290d79c20a7e026644056ed84031f513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14490366$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12498613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ELWOOD, Eric T</creatorcontrib><creatorcontrib>BURSTEIN, Fernando D</creatorcontrib><creatorcontrib>GRAHAM, Leroy</creatorcontrib><creatorcontrib>WILLIAMS, Joseph K</creatorcontrib><creatorcontrib>PASCHAL, Michelle</creatorcontrib><title>Midface distraction to alleviate upper airway obstruction in achondroplastic dwarfs</title><title>The Cleft palate-craniofacial journal</title><addtitle>Cleft Palate Craniofac J</addtitle><description>The use of midface distraction in patients with achondroplasia and upper airway obstruction secondary to midface hypoplasia has not been reported. In this report, we review the treatment of two patients with severe midface hypoplasia and obstructive sleep apnea secondary to achondroplasia using midface distraction osteogenesis.
Two patients with achondroplastic dwarfism and midface hypoplasia with airway obstruction were treated in a tertiary referral center for craniofacial disorders.
Both patients had their tracheostomies decannulated after midface distraction of 25 mm. Midface distraction osteogenesis is useful to alleviate upper airway obstruction from midface hypoplasia seen in achondroplasia.</description><subject>Achondroplasia - surgery</subject><subject>Airway Obstruction - etiology</subject><subject>Airway Obstruction - surgery</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Constriction, Pathologic - surgery</subject><subject>Dentistry</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Male</subject><subject>Maxilla - abnormalities</subject><subject>Maxilla - surgery</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Nasopharynx - pathology</subject><subject>Non tumoral diseases</subject><subject>Osteogenesis, Distraction</subject><subject>Osteotomy, Le Fort</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Sleep Apnea, Obstructive - etiology</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tracheostomy</subject><issn>1055-6656</issn><issn>1545-1569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0E9LHDEYx_FQLNXavoUyF6U9zPrk_0RLYdm2tqB4qJ7DY5LByOxkTGYqvvvOsEs9JYcPvwe-hJxRWFFp9BmVQtZUKvOZAfAvIOArUIDzrR9xwm9sBSuXLtgbcvRfHsx_kLJWSqpD8r6URwAmKWvekUPKhGkU5Ufkz3X0LbpQ-VjGjG6Mqa_GVGHXhb8Rx1BNwxByhTE_40uV7mc17VTsK3QPqfc5DR2WMbrKP2NuywfytsWuhI_795jc_fxxu_lVX91c_t6sr2rHlR7rICX3oExw3nGuBaWaSia0AcW1N5wyA14bxwB1AKaUECBV8I0ATltJ-TE53e0OOT1NoYx2G4sLXYd9SFOxmjUN56BneLmDLqdScmjtkOMW84ulYJe-dqlml2p26Wvnvnbpa6-_367v1pZZsJsby-alT_uT0_02-NedfdAZnOwBFoddm7F3sbw6IQxwpfg_QvaGsQ</recordid><startdate>2003</startdate><enddate>2003</enddate><creator>ELWOOD, Eric T</creator><creator>BURSTEIN, Fernando D</creator><creator>GRAHAM, Leroy</creator><creator>WILLIAMS, Joseph K</creator><creator>PASCHAL, Michelle</creator><general>American Cleft Palate-Craniofacial Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2003</creationdate><title>Midface distraction to alleviate upper airway obstruction in achondroplastic dwarfs</title><author>ELWOOD, Eric T ; BURSTEIN, Fernando D ; GRAHAM, Leroy ; WILLIAMS, Joseph K ; PASCHAL, Michelle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-e553d069ecdc33741171524790637d931290d79c20a7e026644056ed84031f513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Achondroplasia - surgery</topic><topic>Airway Obstruction - etiology</topic><topic>Airway Obstruction - surgery</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Constriction, Pathologic - surgery</topic><topic>Dentistry</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Male</topic><topic>Maxilla - abnormalities</topic><topic>Maxilla - surgery</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Nasopharynx - pathology</topic><topic>Non tumoral diseases</topic><topic>Osteogenesis, Distraction</topic><topic>Osteotomy, Le Fort</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Sleep Apnea, Obstructive - etiology</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tracheostomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ELWOOD, Eric T</creatorcontrib><creatorcontrib>BURSTEIN, Fernando D</creatorcontrib><creatorcontrib>GRAHAM, Leroy</creatorcontrib><creatorcontrib>WILLIAMS, Joseph K</creatorcontrib><creatorcontrib>PASCHAL, Michelle</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Cleft palate-craniofacial journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ELWOOD, Eric T</au><au>BURSTEIN, Fernando D</au><au>GRAHAM, Leroy</au><au>WILLIAMS, Joseph K</au><au>PASCHAL, Michelle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Midface distraction to alleviate upper airway obstruction in achondroplastic dwarfs</atitle><jtitle>The Cleft palate-craniofacial journal</jtitle><addtitle>Cleft Palate Craniofac J</addtitle><date>2003</date><risdate>2003</risdate><volume>40</volume><issue>1</issue><spage>100</spage><epage>103</epage><pages>100-103</pages><issn>1055-6656</issn><eissn>1545-1569</eissn><abstract>The use of midface distraction in patients with achondroplasia and upper airway obstruction secondary to midface hypoplasia has not been reported. In this report, we review the treatment of two patients with severe midface hypoplasia and obstructive sleep apnea secondary to achondroplasia using midface distraction osteogenesis.
Two patients with achondroplastic dwarfism and midface hypoplasia with airway obstruction were treated in a tertiary referral center for craniofacial disorders.
Both patients had their tracheostomies decannulated after midface distraction of 25 mm. Midface distraction osteogenesis is useful to alleviate upper airway obstruction from midface hypoplasia seen in achondroplasia.</abstract><cop>Chapel, Hill, NC</cop><pub>American Cleft Palate-Craniofacial Association</pub><pmid>12498613</pmid><doi>10.1597/1545-1569(2003)040<0100:mdtaua>2.0.co;2</doi><tpages>4</tpages></addata></record> |
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subjects | Achondroplasia - surgery Airway Obstruction - etiology Airway Obstruction - surgery Biological and medical sciences Child Child, Preschool Constriction, Pathologic - surgery Dentistry Facial bones, jaws, teeth, parodontium: diseases, semeiology Female Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Male Maxilla - abnormalities Maxilla - surgery Maxillofacial surgery. Dental surgery. Orthodontics Medical sciences Nasopharynx - pathology Non tumoral diseases Osteogenesis, Distraction Osteotomy, Le Fort Otorhinolaryngology. Stomatology Sleep Apnea, Obstructive - etiology Sleep Apnea, Obstructive - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tracheostomy |
title | Midface distraction to alleviate upper airway obstruction in achondroplastic dwarfs |
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