BILATREAL INTRA - ORAL DISTRACTION OSTEOGENESIS FOR THE MANAGEMENT OF OBSTRUCTIVE SLEEP APNEA IN EARLY CHILDHOOD By Amgad A. Farhat* ; Abd El-Fattah A. Sadakah** & Mohammad A. Elshal** *Chest Department, Faculty of Medicine and **Oral & Maxillofacial Department, Faculty of Dentistry; Tanta University. بسم الله الرحمن الرحيم
Recent literature has suggested that facial skeletal advancement using distraction osteogenesis might be beneficial in those children with obstructive sleep apnea secondary to midface hypoplasia or retromicrognathia and lack of tongue support.
However, in infants and young children, there is no enough room subperiosteally to accommodate the whole distractor.
In this article, we report our experience in correcting mandibular micrognethia accompanying obstructive sleep apnea syndrome (Pierre Robin sequence) by bilateral DO using a modified technique for submucosal intra-oral distractor placement. Aim of the work
During the last five years, a total of 7 patients with mandibular micrognethia (diagnosed with isolated Pierre Robin sequence) accompanying obstructive sleep apnea syndrome were treated with bilateral mandibular distraction osteogenesis, using an intraoral unidirectional submucosal unburied distractor ( MARTIN DISTRACTOR ).