Application of a mandibular osteogenic distraction in children with sleep obstructive apnea

Authors

  • Dadonim Vila Morales Facultad de Ciencias Médicas "Finlay-Albarrán", Ciudad de La Habana
  • Georgia Garmendía Hernández Facultad de Ciencias Médicas "Finlay-Albarrán", Ciudad de La Habana
  • Ángel Mario Felipe Garmendía Facultad de Ciencias Médicas "Finlay-Albarrán", Ciudad de La Habana
  • Fausto Suárez Bosch Hospital Pediátrico Universitario "Juan Manuel Márquez", Ciudad de La Habana
  • Ernesto Sánchez Cabrales Hospital Pediátrico Universitario "Juan Manuel Márquez", Ciudad de La Habana
  • Blanca Álvarez Arredondo Facultad de Ciencias Médicas "Victoria de Girón", Ciudad de La Habana

Keywords:

Osteogenic distraction, sleep obstructive apnea syndrome, airways obstruction

Abstract

Objectives: to show the results from the first patients presenting with sleep
obstructive apnea syndrome (SOAS) of skeletal peripheral type treated in our
country with osteogenesis by mandibular distraction. Methods: Nine patients were
treated with bilateral mandibular osteogenic distraction using Leibinger and Synthes
distraction devices. Latency period was of 72 hours. Mandibular distraction rate at
1,0 mm each 12 hours and restraint was of 8 weeks. Then, postsurgical
orthodontics treatment was started. Results were assessed by polysomnography
and cephalometry studies before intervention, after it and at a year of treatment.
Results: The 89 % of cases had a good recovery, the 11 % showed an
improvement. Complications included: a temporary limitation of mouth opening in
55 % disappearing with physiotherapy and two patients needed tracheostomy for
anesthetic purposes. Conclusions: Osteogenesis by mandibular distraction was an
effective therapeutical method for treatment of peripheral skeletal SOAS.

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Published

2010-01-17

How to Cite

1.
Vila Morales D, Garmendía Hernández G, Felipe Garmendía Ángel M, Suárez Bosch F, Sánchez Cabrales E, Álvarez Arredondo B. Application of a mandibular osteogenic distraction in children with sleep obstructive apnea. Rev Cubana Estomatol [Internet]. 2010 Jan. 17 [cited 2025 Mar. 13];47(1):37-49. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/2645

Issue

Vol. 47 No. 1 (2010): JAN- MAR

Section

Research Article

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