Mandibular Lengthening by Distraction for Airway Obstruction in Treacher-Collins Syndrome: The Long-Term Results

Peter Anderson, David J. Netherway, Amanda Abbott, Mark Moore, David J. David

Research output: Contribution to journalArticlepeer-review

31 Citations (Scopus)

Abstract

Mandibular lengthening by distraction was performed in a 6-year-old severely affected Treacher-Collins syndrome patient who was tracheostomy dependent. As previously reported, this procedure permitted tracheostomy removal once distraction was complete. Now that the patient is skeletally mature, the long-term results of this intervention are reported with regard to his clinical outcome and an assessment of the anatomical changes in the upper airway during growth. Although the distraction could be considered a success in that it enabled permanent decannulation and improved the minimum cross-sectional area of the upper airway, there was no further increase in the minimum cross-sectional area of the upper airway during childhood growth. It is significant that the abnormal growth pattern of the mandible, which is characteristic of this syndrome, did not alter from its preoperative pattern once distraction was completed.

Original languageEnglish
Pages (from-to)47-50
Number of pages4
JournalJournal of Craniofacial Surgery
Volume15
Issue number1
DOIs
Publication statusPublished - 1 Jan 2004
Externally publishedYes

Keywords

  • Airway obstruction
  • Mandibular lengthening
  • Treacher-Collins syndrome

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this