Intraoral osteotomies using piezosurgery for distraction in an infant with Pierre–Robin sequence
- 3 January 2007
- journal article
- case report
- Published by Springer Science and Business Media LLC in Clinical Oral Investigations
- Vol. 11 (3), 303-306
- https://doi.org/10.1007/s00784-006-0091-y
Abstract
Airway management in infants with Pierre Robin sequence (PRS) is often challenging. Advancement of the tongue base using mandibular distraction in neonates can avoid tracheotomy and is increasingly propagated. The osteotomies can be performed via intra- and extraoral approaches. Nowadays, for precise bone cutting, piezosurgical devices have been introduced in maxillofacial surgery, which we used for osteotomies via the intraoral approach in the 7-week-old patient presented in this study. Instead of a preoperative CT scan, a 3D data set was generated preoperatively in the operating theatre using a 3D C-arm system. After bilateral transcutaneous pin placement and osteotomies, a second 3D data set was acquired. Primary and secondary reconstructions clearly visualized the patient's bone despite the low level of ossification in newborns and the presence of a large amount of metal implants. In view of the low level of radiation exposure going along with the 3D C-arm imaging, a follow-up examination after removal of the distractors was performed. With this report of a 7-week-old female infant with the diagnosis of PRS, we want to extend the surgical and diagnostic armamentarium for the treatment of infants with PRS.Keywords
This publication has 16 references indexed in Scilit:
- State-of-the-art on cone beam CT imaging for preoperative planning of implant placementClinical Oral Investigations, 2006
- Intraoral Piezosurgery: Preliminary Results of a New TechniqueJournal of Oral and Maxillofacial Surgery, 2005
- Distraction Osteogenesis in Management of Pediatric Airway: Evidence to Support Its UseJournal of Oral and Maxillofacial Surgery, 2005
- Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm systemInternational Journal of Oral & Maxillofacial Surgery, 2005
- Radiation exposure during midfacial imaging using 4- and 16-slice computed tomography, cone beam computed tomography systems and conventional radiographyDento maxillo facial radiology, 2004
- Mandibular Distraction in Neonates: A Strategy to Avoid TracheostomyPlastic and Reconstructive Surgery, 2002
- Osteodistraktion bei den Neugeborenen mit Pierre-Robin-SequenzMund-,Kiefer- und Gesichtschirurgie, 2002
- Distraction Osteogenesis of the Mandible for Airway Obstruction in ChildrenThe Laryngoscope, 2001
- The Pierre Robin SequencePlastic and Reconstructive Surgery, 1994
- Management of airway obstruction in the Pierre Robin sequenceInternational Journal of Pediatric Otorhinolaryngology, 1991