AI Article Synopsis
- The authors report a rare but noteworthy side effect of neonatal mandibular distraction osteogenesis (MDO) that involves delayed onset sublingual swelling.
- A retrospective chart review of three infants with micrognathia due to Robin sequence revealed intermittent sublingual edema, sialorrhea, and feeding difficulties occurring months after the MDO procedure.
- Magnetic resonance imaging confirmed asymmetric sublingual gland edema, and the condition persists for an average of over 25 months, suggesting chronic complications associated with MDO that need further research.
Article Abstract
The authors aim to report a rare sequela following neonatal mandibular distraction osteogenesis (MDO) involving delayed onset sublingual swelling. They performed a retrospective chart review of 3 patients who presented with delayed onset sublingual edema following neonatal MDO. The 3 patients presented at 2, 4, and 12 months following MDO for micrognathia secondary to Robin sequence with intermittent sublingual swelling associated with sialorrhea and feeding difficulties. There was no associated recent illness, fevers, or purulent drainage. All 3 children underwent magnetic resonance imaging which demonstrated asymmetric sublingual gland edema. The edema was located on the left sublingual gland in 2 children and was bilateral in the third. The symptoms continue to recur 25.5±3.3 months (range, 22.3-28.9) postoperatively and all are being managed conservatively. Chronic delayed onset intermittent sublingual edema is a possible long-term complication following neonatal MDO and further studies should explore the incidence and management of this finding.
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| http://dx.doi.org/10.1097/SCS.0000000000009554 | DOI Listing |
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