Distracción mandibular ósea: resultados del postoperatorio inmediato

Martín-Masot, Rafael; Osorio-Cámara, Juana María; Martínez-Plaza, Adoración; Ocete-Hita, Esther

doi:10.1016/j.maxilo.2017.09.001

Cited by 3 publications

(6 citation statements)

References 24 publications

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“…Mean follow-up for the studies that documented this data was 48.76 months (range 1−192 months). Nine studies reported transient FND (Frawley et al, 2013; Goldstein et al, 2015; Lam et al, 2014; Lin et al, 2007; Mahrous Mohamed et al, 2011; Murage et al, 2014; Zellner et al, 2017) and 6 studies reported permanent FND (Konaş et al, 2016; Scott et al, 2011; Senders et al, 2010; Steinberg et al, 2016; Tahiri et al, 2015; Tibesar et al, 2010) while 1 study had both types of FND (Mudd et al, 2012); 1 study explicitly reported no FND in their cohort of patients (Martín-Masot et al, 2018); and 2 studies documented FND without noting the duration of palsy (Allam et al, 2011; Mao et al, 2019). Ten of 19 publications (47.4%) documented marginal mandibular branch (MMB) dysfunction (Allam et al, 2011; Frawley et al, 2013; Konaş et al, 2016; Lin et al, 2007; Mahrous Mohamed et al, 2011; Scott et al, 2011; Senders et al, 2010; Steinberg et al, 2016; Tibesar et al, 2010; Zellner et al, 2017), and 9 studies did not document which branch of the facial nerve was injured.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies used internal devices (Allam et al, 2011; Frawley et al, 2013; Goldstein et al, 2015; Hammoudeh et al, 2012; Mahrous Mohamed et al, 2011; Murage et al, 2014; Steinberg et al, 2016), 3 used external devices (Scott et al, 2011; Senders et al, 2010; Tibesar et al, 2010), and 2 studies used both types of device (Lin et al, 2007; Martín-Masot et al, 2018); 6 studies did not document the type of device (Hu et al, 2001; Lam et al, 2014; Mao et al, 2019; Murage et al, 2014; Zellner et al, 2017). Distraction rate ranged from 1.00 mm/day to 2.00 mm/day (median: 1.00 mm/day, mean 1.37 mm/day) and the total distraction length ranged from 13.00 mm to 22.3 mm (median: 18.1 mm, mean 18.5 mm).…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, study designs varied. Eight studies were retrospective (Frawley et al, 2013; Goldstein et al, 2015; Hammoudeh et al, 2012; Hu et al, 2001; Lam et al, 2014; Mahrous Mohamed et al, 2011; Mao et al, 2019; Murage et al, 2014), 5 were cohort retrospective (Konaş et al, 2016; Scott et al, 2011; Senders et al, 2010; Steinberg et al, 2016; Tibesar et al, 2010), 2 were case series (Lin et al, 2007; Mudd et al, 2012), and the remaining 4 studies were case control (Tahiri et al, 2015), retrospective case control (Zellner et al, 2017), observational descriptive (Martín-Masot et al, 2018), and combined retrospective and prospective (Allam et al, 2011).…”

Section: Resultsmentioning

confidence: 99%

“…The Egger's test also indicated that there was no significant publication bias (intercept: 0.73, 95% CI: −0.40 to 1.87, P = 0.22). From the counter-enhanced funnel plot, only Martin-Masot 2018(Martín-Masot et al, 2018, had a nonsignificant prevalence estimate (white background) while the remaining 18 studies had a statistically significant (P < 0.05) prevalence estimate of FND (grey background). No trend was observed between study size and statistical significance.…”

Section: Publication Biasmentioning

confidence: 99%

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Facial Nerve Dysfunction After Mandibular Distraction Osteogenesis in Patients with Robin Sequence: A Systematic Review and Meta-Analysis

Kapoor

Mantilla-Rivas

Rana

et al. 2022

The Cleft Palate Craniofacial Journal

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Objective Robin Sequence (RS), characterized by micrognathia, glossoptosis, and upper airway obstruction, is an increasingly recognized diagnosis. An effective surgical intervention is mandibular distraction osteogenesis (MDO). This study analyzes published evidence regarding facial nerve dysfunction (FND) associated with MDO. Design and Setting According to PRISMA guidelines, a systematic review was carried out with databases queried in June 2019 using MESH terms, or equivalent terms, as follows: “distraction osteogenesis” and “Robin Sequence”. A review of original Spanish and English articles, were included. Outcome measures included the prevalence of FND; the affected branches; the rate of permanent vs. transient FND; the use of an internal vs. external device; the daily distraction rate; and finally, the overall distraction length. Subsequently, a meta-analysis was conducted to collate results regarding the prevalence of FND and the factors associated with it. Results Of 239 unique studies identified, 19 studies with 729 patients met inclusion criteria; 52 patients developed FND after MDO. A random-effects meta-analysis yielded a pooled prevalence of FND of 6.40%, with moderately heterogeneous studies (I2 = 41%, τ2 = 0.006). Marginal mandibular nerve involvement was most commonly noted. Nine studies reported transient FND, six permanent, one both, and two unspecified. Internal distractors were used in 8 studies and external in 3 and both in 2. Distraction rate was 1.00 to 2.00 mm/day and total distraction length ranged from 13.00 to 22.3 mm. Sample size was the only parameter inversely associated with rate of FND (p = 0.04). Conclusion This analysis of FND associated with MDO for patients with RS demonstrates a lack of consistent documentation. MDO-associated FND does not appear to be uncommon, and permanent dysfunction can occur. This review underscores the importance of thorough documentation to elucidate the mechanism of FND.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Publication Biasmentioning

confidence: 99%

See 2 more Smart Citations

Facial Nerve Dysfunction After Mandibular Distraction Osteogenesis in Patients with Robin Sequence: A Systematic Review and Meta-Analysis

Kapoor

Mantilla-Rivas

Rana

et al. 2022

The Cleft Palate Craniofacial Journal

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show abstract

“…It is important to preserve vascularization, and to provide adequate post-operatory and distraction period. 6 Mandibular distraction osteogenesis (MDO) corrects micrognathia, gradually lengthens the mandible, and can be performed safely in infants. This procedure successfully prevents obstructive sleep apnea in most cases, thus avoiding the need for tracheotomy surgery.…”

Section: Introductionmentioning

confidence: 99%

Pierre Robin Sequence: airway management via mandibular distraction. Case report

et al. 2019

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La secuencia de Pierre Robin es una afección congénita caracterizada por la presencia de micrognatia, glosoptosis, paladar hendido y obstrucción de la vía aérea, siendo ésta una de las principales características de la cual derivan varias complicaciones, entre ellas, dificultad respiratoria, apnea, pérdida de peso y hasta la muerte. En la actualidad la distracción ósea mandibular es la técnica quirúrgica de elección, que tiene como finalidad el alargamiento mandibular corrigiendo la posición posterior de la lengua, con la consecuente desobstrucción de la vía aérea en pacientes con hipoplasia mandibular. Se reporta caso clínico de paciente masculino con 26 días de nacido, que presentó obstrucción de la vía aérea superior, retromicrognatismo mandibular, retracción de la lengua y hendidura palatina, relacionado con la secuencia de Pierre Robin, con antecedentes de intubación orotraqueal por dificultad respiratoria, al cual se le realizó distracción ósea mandibular con vector horizontal, destacando resultados satisfactorios en la resolución de la obstrucción de la vía aérea.Palabras Clave: Osteogénesis por distracción; micrognatismo; Síndrome de Pierre Robin; obstrucción de las vías aéreas.

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Manejo multidisciplinario de las alteraciones maxilofaciales asociadas al Síndrome de Pierre Robin. Revisión de literatura

Cerda Sánchez,

Astorga,

García

2024

J Multidiscip Dent

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Establecer la secuencia del manejo terapéutico de las alteraciones maxilofaciales asociadas al Síndrome de Pierre Robin en intervención multidisciplinaria, mediante una revisión de literatura entre el año 2016 y 2021. La investigación realizada para el presente artículo es de tipo descriptivo, estableciendo como muestra artículos publicados del año 2016 al 2021, recolectados en la base de PubMed y Google Académico, empleando los términos de búsqueda, Pierre Robin Syndrome, Maxillofacial Abnormalities, Surgical Procedures, Operative, combinados con los conectores booleanos AND y sus homólogos en español. Se estableció como estrategia PICO la búsqueda ((Pierre Robin Syndrome) AND (Maxillofacial Abnormalities)) AND (Surgical Procedures, Operative) que arrojó 14 artículos en PubMed y 951 artículos en Google Académico. Se consideraron como criterios de inclusión revisiones sistemáticas, metaanálisis, revisiones bibliográficas y casos clínicos, que traten sobre el Síndrome de Pierre Robin y su manejo quirúrgico. Los criterios de exclusión fueron libros, monografías, estudios experimentales; que permitieron obtener artículos de PubMed y 29 de Google académico. Cada resultado se digitó en un diagrama de flujo. Cada artículo fue analizado en su totalidad. Fueron almacenados en un archivo digital. La historia clínica, examen físico, hospitalización en UCI para monitoreo continuo, realizar exámenes diagnósticos complementarios, el abordaje conservador y/o quirúrgico determinada por el nivel de obstrucción de la vía aérea constituyen la secuencia idónea sugerida por varios autores para el manejo de las alteraciones maxilofaciales del Síndrome de Pierre Robin.

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Distracción mandibular ósea: resultados del postoperatorio inmediato

Cited by 3 publications

References 24 publications

Facial Nerve Dysfunction After Mandibular Distraction Osteogenesis in Patients with Robin Sequence: A Systematic Review and Meta-Analysis

Facial Nerve Dysfunction After Mandibular Distraction Osteogenesis in Patients with Robin Sequence: A Systematic Review and Meta-Analysis

Pierre Robin Sequence: airway management via mandibular distraction. Case report

Manejo multidisciplinario de las alteraciones maxilofaciales asociadas al Síndrome de Pierre Robin. Revisión de literatura

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