Outcomes of polysomnography after mandibular distraction osteogenesis in the treatment of severe Pierre Robin sequence
Main Article Content
Abstract
Objective: Evaluate the outcomes of polysomnography after mandibular distraction osteogenesis in the treatment of severe Pierre Robin sequence.
Subjects and Methods: A non-randomized clinical intervention study, with pre-and post-assessment, was conducted on 102 patients with severe Pierre Robin sequence at the Department of Craniofacial and Plastic Surgery, Central Children's Hospital, from October 2019 to October 2023.
Results: The success rate of the surgery in our study was 95.1%. Postoperative Apnea-Hypopnea Index (OAHI) was 1.7±1.62. Oxygen saturation levels in blood (SpO2) were maintained between 97-100%, and normal breathing without respiratory support was achieved.
Conclusion: There were significant changes in the apnea and hypopnea indices, demonstrating a complete difference between preoperative and postoperative states.
Article Details
Keywords
polysomnography, Pierre Robin sequence, Vienam National Children's Hospital
References
2. Basta M.N., Mudd P.A., Fuller S.M. và cộng sự. (2015). Total Airway Reconstruction in the Neonate: Combined Mandibular Distraction and Slide Tracheoplasty for Multiple Level Airway Obstruction. J Craniofac Surg, 26(8), e788-791.
3. Al-Samkari H.T., Kane A.A., Molter D.W. và cộng sự. (2010). Neonatal outcomes of Pierre Robin sequence: an institutional experience. Clin Pediatr (Phila), 49(12), 1117-1122.
4. Kochhar R., Modi V., de Silva N. và cộng sự. (2022). Polysomnography-guided mandibular distraction osteogenesis in Pierre Robin sequence patients. J Clin Sleep Med, 18(7), 1749–1755.
5. Daniel M., Bailey S., Walker K. và cộng sự. (2013). Airway, feeding and growth in infants with Robin sequence and sleep apnoea. Int J Pediatr Otorhinolaryngol, 77(4), 499-503.
6. Looby J.F., Schendel S.A., Lorenz H.P. và cộng sự. (2009). Airway analysis: with bilateral distraction of the infant mandible. J Craniofac Surg, 20(5), 1341-1346.
7. Hammoudeh J., Bindingnavele V.K., Davis B. và cộng sự. (2012). Neonatal and infant mandibular distraction as an alternative to tracheostomy in severe obstructive sleep apnea. Cleft Palate Craniofac J, 49(1), 32-38.
8. Guilleminault C., Ariagno R., Korobkin R. và cộng sự. (1979). Mixed and obstructive sleep apnea and near miss for sudden infant death syndrome: 2. Comparison of near miss and normal control infants by age. Pediatrics, 64(6), 882-891.