<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922018000300008</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922018000300008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Secuencia de Pierre Robin: implicación de la fisura palatina en la distracción mandibular]]></article-title>
<article-title xml:lang="en"><![CDATA[Pierre Robin sequence: implication of cleft palate for jaw distraction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano-Cifuentes]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Siguen]]></surname>
<given-names><![CDATA[María I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayrad]]></surname>
<given-names><![CDATA[Yamal M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[Pamela A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Apa]]></surname>
<given-names><![CDATA[Sebastián N]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Pediatría S.A.M.I.C. Juan P. Garrahan Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Pediatría S.A.M.I.C. Juan P. Garrahan Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de Pediatría S.A.M.I.C. Juan P. Garrahan Servicio de Cirugía Plástica Servicio de Cirugía Plástica y Quemados]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>44</volume>
<numero>3</numero>
<fpage>281</fpage>
<lpage>286</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922018000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922018000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922018000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y Objetivo La secuencia de Pierre Robin se caracteriza por presentar la tríada de micrognatia, obstrucción de la vía aérea superior y glosoptosis, pudiendo presentar fisura de paladar. Esta última podría ser un factor pronóstico en el resultado final de la desobstrucción de la vía aérea durante el procedimiento de distracción mandibular. Nuestro objetivo es analizar si la presencia de fisura de paladar en pacientes sometidos a distracción mandibular incide en el resultado final de la desobstrucción de la vía aérea, así como evaluar la relación entre la discrepancia máxilo-mandibular y la fisura de paladar en el tratamiento con distracción osteogénica.  Material y Método Realizamos un estudio prospectivo randomizado en el Servicio de Cirugía Plástica del Hospital de Pediatría S.A.M.I.C. Juan P. Garrahan de Buenos Aires (Argentina), en el período comprendido entre 2013 y 2017. Analizamos 31 pacientes con diagnóstico de secuencia de Pierre Robin entre los 3 y los 90 días de edad, sometidos a distracción mandibular, 51.6% de sexo femenino y 48.4% de sexo masculino. El 80.6% presentaba fisura de paladar asociada.  Resultados Del análisis comparativo realizado vimos que cuando no se tuvo en cuenta la severidad de la discrepancia máxilo-mandibular, la diferencia no fue significativa entre ambos grupos. Ahora bien, cuando la discrepancia máxilo-mandibular fue mayor o igual a 7 mm, los pacientes que presentaban fisura de paladar tuvieron mejor resultado en el tratamiento quirúrgico mediante distracción mandibular para desobstruir la vía aérea.  Conclusiones Los pacientes con diagnóstico de secuencia de Pierre Robin a los que se les realizó distracción mandibular con el objetivo de desobstruir la vía aérea, que presentaban una discrepancia máxilo-mandibular mayor o igual a 7 mm y fisura de paladar asociada, tuvieron, de forma estadísticamente significativa un mejor resultado en dicho procedimiento (p&lt; 0.01).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Background and Objective The three mean features of the Pierre Robin sequence are micrognatia, airway obstruction and feeding problems, and the cleft palate may be associated. The cleft palate could be a prognosis factor in the final outcomes of the airway desobstruction during the jaw distraction. Our aim is to analyze if the cleft palate affects the final outcomes of the airway desobstruction in patients with jaw distraction, assessing the relationship between the maxillomadibular overjet and the cleft palate in the osteogenic distraction.  Methods We performed a prospective randomized study with patients between 2015 and 2017 in the Plastic Surgery Department of the Pediatric Hospital S.A.M.I.C. Juan P. Garrahan, Buenos Aires (Argentina). There were 31 patients with Pierre Robin sequence (57% boys and 43% girls), aged between 3 and 90 days, and they all had jaw distraction; 80.6% of patients had a cleft palate associated.  Results From the comparative analysis we obtained that if the severity of the maxillomandibular overjet wasn't taken into account, there wasn't difference between the analyzed groups. But, it the overjet was 7 mm or more, patients with cleft palate associated had les jaw distraction failure for the airway desobstruction and had better final outcomes.  Conclusions Patients with Pierre Robin sequence treated with jaw distraction for the airway desobstruction with a maxillomandibular overjet of 7 mm or more, had les treatment failure with p &lt; 0.01.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Distracción mandibular]]></kwd>
<kwd lng="es"><![CDATA[Secuencia Pierre Robin]]></kwd>
<kwd lng="es"><![CDATA[Fisura paladar]]></kwd>
<kwd lng="en"><![CDATA[Mandibular distraction]]></kwd>
<kwd lng="en"><![CDATA[Pierre Robin sequence]]></kwd>
<kwd lng="en"><![CDATA[Cleft palate]]></kwd>
</kwd-group>
</article-meta>
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