Distraction osteogenesis of the mandible for airway obstruction in children

Objectives: Objectives of the study were to determine the effectiveness of distraction osteogenesis of the mandible to relieve airway obstruction in children with tongue-base airway obstruction and to describe the new surgical techniques developed for use in infants and young children. Study Design: Prospective, nonrandomized study. Methods: Analysis of 11 children with severe airway obstruction secondary to tongue-base obstruction was performed. Patients were between 2 weeks and 5.5 years of age. All patients underwent distraction osteogenesis of the mandible. Results: Twelve distraction procedures in the 11 children in the study were accomplished; decannulation or extubation was successful in all children. Conclusion: Distraction osteogenesis of the mandible can be used to treat tongue-base airway obstruction in appropriately selected children.