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Cirugía Plástica Ibero-Latinoamericana

versão On-line ISSN 1989-2055versão impressa ISSN 0376-7892

Resumo

CAYCEDO-GARCIA, D.J.. Benefits of mandibular distraction on newborn infants with sleep apnea. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.4, pp.411-417. ISSN 1989-2055.  http://dx.doi.org/10.4321/S0376-78922013000400012.

The obstructive sleep apnea or obstructive hypoventilation in neonates is different than on adults, therefore the presentation, etiology and treatment are different too; it's considered sleep apnea 1 episode an hour for more than 10 seconds, with saturation lower than 87% and increment of CO2. There are several etiological causes but anatomical and neurophysiological factors are the basis of upper respiratory problem that produces failures that produces forces that tighten and relax the airway. Retromicrognathia as the anatomical cause can be isolated or syndromic. Hypoxemia and hypercapnia increase the intrathoracic negative pressure with the consequence of cell damage without being able to quantify the severity of brain injury in the neonatal period. We present an observational descriptive study, case series conducted between 2000 and 2011, in 49 neonatal patients in the Intensive Care Unit of Valley University Hospital and Imbanaco Medical Center in Cali, Colombia. The study aims to show the benefits of early management of infants who developed retro-micrognathia and obstructive apnea or obstructive hypoventilation, which were surgically treated with corticotomy, placement of distractors and mandibular elongation, getting obstructive sleep apnea disappears in a time no more than a week and that clinical improvement of neonates with this diagnosis, avoiding tracheotomy and possible complications and consequences of cerebral hypoxia, and decreasing hospital stay.

Palavras-chave : Neonatal apnea; Mandibular distraction; Osteogenesis; Pierre Robin.

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