Long-term outcomes after external maxillary distraction surgery in patients with Down syndrome
SH Arnold, AA Figueroa, AL Wiegmann… - Journal of …, 2023 - journals.lww.com
SH Arnold, AA Figueroa, AL Wiegmann, J Lee, S Padala, F Hamati, MA Hansdorfer…
Journal of Craniofacial Surgery, 2023•journals.lww.comBackground: Patients with Down syndrome have severe facial deformities that can
precipitate functional consequences and social stigmatization. Craniofacial surgical
intervention can play a role in improving these symptoms and patient quality of life. The
objective of this study was to investigate the long-term outcomes of distraction osteogenesis
and orthognathic surgical intervention in patients with Down syndrome. Materials and
Methods: Charts of 3 patients with Down syndrome who were treated with external maxillary …
precipitate functional consequences and social stigmatization. Craniofacial surgical
intervention can play a role in improving these symptoms and patient quality of life. The
objective of this study was to investigate the long-term outcomes of distraction osteogenesis
and orthognathic surgical intervention in patients with Down syndrome. Materials and
Methods: Charts of 3 patients with Down syndrome who were treated with external maxillary …
Abstract
Background:
Patients with Down syndrome have severe facial deformities that can precipitate functional consequences and social stigmatization. Craniofacial surgical intervention can play a role in improving these symptoms and patient quality of life. The objective of this study was to investigate the long-term outcomes of distraction osteogenesis and orthognathic surgical intervention in patients with Down syndrome.
Materials and Methods:
Charts of 3 patients with Down syndrome who were treated with external maxillary distraction osteogenesis were retrospectively reviewed. The patients’ caregivers were prospectively interviewed between 10 and 15 years after surgery to determine surgical stability, long-term function, and quality of life status.
Results:
All patients and their caregivers reported excellent results with improvements in function and quality of life. Facial skeletal changes have been stable over time. The cephalometric analysis demonstrated significant maxillary advancement in all 3 patients and mandibular changes to correct mandibular prognathism and asymmetry in the patient who underwent finishing orthognathic surgery.
Conclusions:
External maxillary distraction osteogenesis and orthognathic surgery may be considered in select patients with Down syndrome as part of their multidisciplinary health care. These interventions can result in long-term improvements in patient function and quality of life.
Lippincott Williams & Wilkins以上显示的是最相近的搜索结果。 查看全部搜索结果