J Korean Assoc Oral Maxillofac Surg.  2016 Dec;42(6):388-392. 10.5125/jkaoms.2016.42.6.388.

Management of obstructive sleep apnea in a Treacher Collins syndrome patient using distraction osteogenesis of the mandible

• Damlar I
• Altan A
• Turgay B
• Kiliç S

• KMID: 2364009
• DOI: http://doi.org/10.5125/jkaoms.2016.42.6.388

Abstract

In this study, we present the surgical treatment of obstructive sleep apnea in a child with Treacher Collins syndrome. A 10-year-old girl with a past history of Treacher Collins syndrome presented to our clinic with her parents for respiratory distress and insomnia. The patient was referred to a sleep laboratory where she was diagnosed with obstructive sleep apnea, which was a consequence of her Treacher Collins syndrome. The patient underwent mandibular distraction osteogenesis under general anesthesia. The mandible was expanded by 15 mm using internal bilateral distractors. After distraction osteogenesis, the patient's respiratory problems resolved, and she was able to sleep comfortably. Distraction osteogenesis was an effective method of advancing the mandible, increasing the upper airway space and ultimately preventing obstructive sleep apnea syndrome in patients with Treacher Collins syndrome.

Keyword

Distraction osteogenesis; Obstructive sleep apnea; Treacher Collins syndrome; Mandibulofacial dysostosis

MeSH Terms

Anesthesia, General
Child
Female
Humans
Mandible*
Mandibulofacial Dysostosis*
Methods
Osteogenesis, Distraction*
Parents
Sleep Apnea, Obstructive*
Sleep Initiation and Maintenance Disorders

Figure

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  Fig. 1 The patient with Treacher Collins syndrome.

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  Fig. 2 Preoperative three-dimensional computed tomography.

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  Fig. 3 Osteotomy with piezo surgery.

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  Fig. 4 Positioning of distraction.

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  Fig. 5 Three-dimensional computed tomography after distraction osteogenesis.

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  Fig. 6 One year after the end of treatment.

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