Neonatal Jaw (Mandibular) Distraction
Neonatal jaw (mandibular) distraction is used to treat obstructive sleep apnea for infants with micrognathia and Pierre Robin Sequence. The goal of distraction is to increase the size of the lower jaw and surrounding tissues, and pull the tongue forward and off the oral airway. This helps resolve obstructive sleep apnea and feeding difficulties.
Infants are put to sleep for the procedure and then monitored in our Regional Center for Newborn Intensive Care (RCNIC). They may require narcotics for a few days and then they are routinely treated with Acetaminophen or Ibuprofen.
Before the Procedure
Before the distraction procedure, patients are given a polysomnogram or sleep study and 3D CT Scan. Parents or caregivers must follow the routine pre-surgery instructions for the safety of the infant.
During the Procedure
The procedure takes place in the operating room. A small incision (cut) is made in the mouth. This incision is known as an osteotomy. A device is then placed externally on either side of the face attached to pins. Doctors turn the distractor pins using a type of wrench. During surgery, the patient is asleep and vital signs are monitored closely.
After the Procedure
Some patients stay in the hospital (in the RCNIC) during the entire process of pin-turning. By frequent turning of the pins (at the hospital or home), the bones gradually separate with increased tension and new bone is formed in this space.
During the distraction process, babies often had a difficult time eating orally. Special feeding techniques are implemented to keep the infants well nourished.
If patients go home during distraction, parents learn how to perform pin care, turning distraction pins and special feeding techniques before leaving the hospital.
Call the Doctor If:
- There is redness at the pin sites
- You have trouble turning the distraction pins
Contact Us
For additional information on this or any Health Topic, please call the Family Resource Center , 513-636-7606, or your pediatrician.
Written 8/06
