Mandibular Lengthening by Distraction for Airway Obstruction in Treacher-Collins Syndrome

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Abstract

Mandibular lengthening by distraction was performed in a 6-year-old tracheostomy-dependent Treacher-Collins syndrome patient. Detailed preoperative imaging revealed an occluded retrotongue base pharyngeal airway, which, following mandibular distraction, became patent and permitted tracheostomy removal. Mandibular distraction as a technique must be targeted toward clinical problems—management of upper-airway obstruction may be one such scenario.

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