PDF(Pubmed)
Abstract：
UNASSIGNED: to investigate the ability of mandibular distraction osteogenesis (MDO) to avoid gastrostomy tube (G-tube).
UNASSIGNED: PubMed, EBSCOhost, Cochrane, and Embase.
UNASSIGNED: We retrospectively reviewed the number of MDO cases performed at our institution for patients with Robin Sequence (RS) over the past 10 years. In our institutional review, patients were excluded if they had a G-tube already placed at the time of surgery. We also performed a systematic review of the literature. Articles were excluded if they did not detail feeding outcomes after MDO, or if MDO was performed on patients that did not have RS.
UNASSIGNED: In our systematic review, 12 articles were included that comprised a total of 209 neonates with RS that underwent MDO. A total of 174 (83.3%) patients avoided a G-tube once MDO was performed. A total of 14 patients met the inclusion criteria at our institution. Of the 14 RS patients, 9 (64%) avoided having a G-tube placed and all (14/14) avoided tracheostomy. The average birth weight of patients avoiding a G-tube was 3.11 kg compared to 2.25 kg (P = .045) in the group requiring a G-tube. In the group avoiding a G-tube, the average weight at time of operation was 3.46 kg compared to 2.83 kg (P = .037) in the group requiring a G-tube.
UNASSIGNED: MDO may be considered as a surgical option to prevent G-tube placement for neonates with non-syndromic RS who have difficulty with PO feeding but whose airway obstruction is not severe enough to require respiratory support. Based on our institutional experience, a minimum weight of 3.00 kg correlated with higher success rates of PO intake and avoiding a G-tube.
UNASSIGNED: PubMed, EBSCOhost, Cochrane, and Embase.
UNASSIGNED: We retrospectively reviewed the number of MDO cases performed at our institution for patients with Robin Sequence (RS) over the past 10 years. In our institutional review, patients were excluded if they had a G-tube already placed at the time of surgery. We also performed a systematic review of the literature. Articles were excluded if they did not detail feeding outcomes after MDO, or if MDO was performed on patients that did not have RS.
UNASSIGNED: In our systematic review, 12 articles were included that comprised a total of 209 neonates with RS that underwent MDO. A total of 174 (83.3%) patients avoided a G-tube once MDO was performed. A total of 14 patients met the inclusion criteria at our institution. Of the 14 RS patients, 9 (64%) avoided having a G-tube placed and all (14/14) avoided tracheostomy. The average birth weight of patients avoiding a G-tube was 3.11 kg compared to 2.25 kg (P = .045) in the group requiring a G-tube. In the group avoiding a G-tube, the average weight at time of operation was 3.46 kg compared to 2.83 kg (P = .037) in the group requiring a G-tube.
UNASSIGNED: MDO may be considered as a surgical option to prevent G-tube placement for neonates with non-syndromic RS who have difficulty with PO feeding but whose airway obstruction is not severe enough to require respiratory support. Based on our institutional experience, a minimum weight of 3.00 kg correlated with higher success rates of PO intake and avoiding a G-tube.
摘要：
■研究下颌骨牵张成骨（MDO）避免胃造瘘管（G管）的能力。
■PubMed,EBSCOhost,科克伦,和Embase。
■我们回顾性回顾了过去10年在我们机构为Robin序列（RS）患者进行的MDO病例数。在我们的机构审查中，如果患者在手术时已经放置了G管,则将其排除.我们还对文献进行了系统回顾。如果文章没有详细说明MDO后的喂养结果，则将其排除在外，或者对没有RS的患者进行MDO。
■在我们的系统综述中，纳入12篇文章，共209例接受MDO的RS新生儿。进行MDO后，共有174名（83.3％）患者避免使用G管。共有14名患者符合我们机构的纳入标准。在14例RS患者中，9（64％）避免放置G管，所有（14/14）避免气管造口术。避免使用G管的患者的平均出生体重为3.11kg，而需要使用G管的患者为2.25kg（P=0.045）。在避免使用G管的小组中，手术时的平均体重为3.46kg,而需要G管组的平均体重为2.83kg(P=0.037).
■MDO可被视为一种手术选择，以防止非综合征性RS新生儿放置G管，这些新生儿有PO喂养困难，但其气道阻塞不严重，需要呼吸支持。根据我们的制度经验,最小体重3.00kg与PO摄入和避免G管的成功率更高相关。
■PubMed,EBSCOhost,科克伦,和Embase。
■我们回顾性回顾了过去10年在我们机构为Robin序列（RS）患者进行的MDO病例数。在我们的机构审查中，如果患者在手术时已经放置了G管,则将其排除.我们还对文献进行了系统回顾。如果文章没有详细说明MDO后的喂养结果，则将其排除在外，或者对没有RS的患者进行MDO。
■在我们的系统综述中，纳入12篇文章，共209例接受MDO的RS新生儿。进行MDO后，共有174名（83.3％）患者避免使用G管。共有14名患者符合我们机构的纳入标准。在14例RS患者中，9（64％）避免放置G管，所有（14/14）避免气管造口术。避免使用G管的患者的平均出生体重为3.11kg，而需要使用G管的患者为2.25kg（P=0.045）。在避免使用G管的小组中，手术时的平均体重为3.46kg,而需要G管组的平均体重为2.83kg(P=0.037).
■MDO可被视为一种手术选择，以防止非综合征性RS新生儿放置G管，这些新生儿有PO喂养困难，但其气道阻塞不严重，需要呼吸支持。根据我们的制度经验,最小体重3.00kg与PO摄入和避免G管的成功率更高相关。
