Distraction osteogenesis in Pierre Robin neonates with airway obstruction.

Mandibular distraction osteogenesis can be a safe and effective way to avoid tracheostomy placement in selected neonates with Pierre Robin sequence,with or without other associated syndromes. In non-syndromic Pierre Robin sequence syndromes, this procedure, in the current author's experience, has provided definitive correction of both airway obstruction and micrognathia. The cost to patients and families appropriately treated by mandibular distraction osteogenesis is substantially less than tracheostomy. Mandibular distraction does not involve the ongoing maintenance, medical care, and high risk of mortality associated with tracheostomy. A support team of pediatric anesthesia, pulmonary, and otolaryngology specialists is required for the safe and successful selection and treatment of this group of patients with Pierre Robin sequence using mandibular distraction. The author's investigation of this group is ongoing.