Authors: Max Heiland Marco Blessmann Philipp Pohlenz Lei Li Rainer Schmelzle Felix Blake
Publish Date: 2007/01/03
Volume: 11, Issue: 3, Pages: 303-306
Abstract
Airway management in infants with Pierre Robin sequence PRS is often challenging Advancement of the tongue base using mandibular distraction in neonates can avoid tracheotomy and is increasingly propagated The osteotomies can be performed via intra and extraoral approaches Nowadays for precise bone cutting piezosurgical devices have been introduced in maxillofacial surgery which we used for osteotomies via the intraoral approach in the 7weekold patient presented in this study Instead of a preoperative CT scan a 3D data set was generated preoperatively in the operating theatre using a 3D Carm system After bilateral transcutaneous pin placement and osteotomies a second 3D data set was acquired Primary and secondary reconstructions clearly visualized the patient’s bone despite the low level of ossification in newborns and the presence of a large amount of metal implants In view of the low level of radiation exposure going along with the 3D Carm imaging a followup examination after removal of the distractors was performed With this report of a 7weekold female infant with the diagnosis of PRS we want to extend the surgical and diagnostic armamentarium for the treatment of infants with PRS
Keywords: