TY - JOUR
T1 - A systematic review on the outcome of mandibular distraction osteogenesis in infants suffering Robin sequence
AU - Paes, Emma C.
AU - Mink van der Molen, Aebele B.
AU - Muradin, Marvick S. M.
AU - Speleman, Lucienne
AU - Sloot, Frea
AU - Kon, Moshe
AU - Breugem, Corstiaan C.
PY - 2013
Y1 - 2013
N2 - Objectives: Mandibular distraction osteogenesis (MDO) has been successfully applied in infants suffering Robin sequence (RS) with severe upper airway obstruction, but no comparative studies for the different types of MDO exist to date. The objective of the current study was to systematically review the published data considering this matter, providing a fundament for protocols and a more conscious treatment strategy for infants with RS in the near future. Material and methods: For the period from January 1966 to January 2012, the Pubmed, EMBASE, and Cochrane Library databases were searched. Abstracts were screened based on predetermined selection criteria. Relevant full-text articles were retrieved. The articles were analyzed on the type of MDO used, preoperative workup, patient characteristics, postoperative outcome, and complications. Results: The search yielded 109 articles. After checking abstracts and full texts on predetermined inclusion and exclusion criteria, 12 studies (four describing external MDO, five internal MDO, and three both types) were extracted for further analyses. Conclusion: Internal MDO seems very feasible in infants suffering RS, minimizing side effects such as hypertrophic scarring, nerve damage, and extensive care needs, although the indications for usage are more limited compared to the external device. Corresponding protocols and long-term outcome studies are needed to make a better comparison and the use and indication of the different types of distraction even more distinct. Clinical relevance: A base for a guideline to support the choice of a designated operative management for neonates with RS is provided, hereby obviating possible complications of the different types of MDO in the future. © 2013 Springer-Verlag Berlin Heidelberg.
AB - Objectives: Mandibular distraction osteogenesis (MDO) has been successfully applied in infants suffering Robin sequence (RS) with severe upper airway obstruction, but no comparative studies for the different types of MDO exist to date. The objective of the current study was to systematically review the published data considering this matter, providing a fundament for protocols and a more conscious treatment strategy for infants with RS in the near future. Material and methods: For the period from January 1966 to January 2012, the Pubmed, EMBASE, and Cochrane Library databases were searched. Abstracts were screened based on predetermined selection criteria. Relevant full-text articles were retrieved. The articles were analyzed on the type of MDO used, preoperative workup, patient characteristics, postoperative outcome, and complications. Results: The search yielded 109 articles. After checking abstracts and full texts on predetermined inclusion and exclusion criteria, 12 studies (four describing external MDO, five internal MDO, and three both types) were extracted for further analyses. Conclusion: Internal MDO seems very feasible in infants suffering RS, minimizing side effects such as hypertrophic scarring, nerve damage, and extensive care needs, although the indications for usage are more limited compared to the external device. Corresponding protocols and long-term outcome studies are needed to make a better comparison and the use and indication of the different types of distraction even more distinct. Clinical relevance: A base for a guideline to support the choice of a designated operative management for neonates with RS is provided, hereby obviating possible complications of the different types of MDO in the future. © 2013 Springer-Verlag Berlin Heidelberg.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84886547825&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/23722462
U2 - https://doi.org/10.1007/s00784-013-0998-z
DO - https://doi.org/10.1007/s00784-013-0998-z
M3 - Review article
C2 - 23722462
SN - 1432-6981
VL - 17
SP - 1807
EP - 1820
JO - Clinical Oral Investigations
JF - Clinical Oral Investigations
IS - 8
ER -