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
Hauptverfasser: ELWOOD, Eric T, BURSTEIN, Fernando D, GRAHAM, Leroy, WILLIAMS, Joseph K, PASCHAL, Michelle
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container_end_page 103
container_issue 1
container_start_page 100
container_title The Cleft palate-craniofacial journal
container_volume 40
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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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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