Skip to main content

Neonatal Micrognathia: National Trends in Early Mandibular Surgery.

Publication ,  Journal Article
Jenny, HE; Massenburg, BB; Weissler, EH; Taub, PJ
Published in: Annals of plastic surgery
March 2017

Micrognathia is a congenital anomaly that may pose breathing and feeding limitations in newborns, sometimes necessitating invasive management. The present study aims to identify the complications associated with receiving mandibular surgery during the birth stay in order to better predict which patients may benefit from early surgical intervention.A retrospective cohort study was performed using the 2000 to 2012 kids' inpatient databases. We included all live newborn infants born in the hospital through vaginal delivery or caesarean section. We used multivariate logistic regression to investigate the demographic and clinical factors associated with receiving mandibular surgery for micrognathia during the birth stay.Of 19,638,453 births, 999 were diagnosed with micrognathia (0.005%). Forty (4%) patients with micrognathia underwent mandibular surgery during the initial admission. On univariate analysis in newborns with micrognathia, mandibular surgery during birth stay was associated with cleft palate, apnea, intubation, tracheostomy, obstructive sleep apnea (OSA), and long mechanical ventilation. Multivariate analysis supported the association between mandibular surgery during the initial admission and long mechanical ventilation (odds ratio [OR], 24.6; 95% confidence interval [CI], 7.7-78.5), OSA (OR, 24.9; 95% CI, 2.5-261.8), apnea (OR, 4.2; 95% CI, 1.5-11.3), and cleft palate (OR, 4.6; 95% CI, 2.0-10.6). However, intubation and tracheostomy were not found to be associated with early mandibular surgery during the birth stay.The present study identified long mechanical ventilation, apnea, cleft palate, and OSA as factors indicating patients who may benefit from early mandibular surgery, such as mandibular distraction osteogenesis. These findings may bring the clinician closer to standardizing the indications for early mandibular distraction osteogenesis.

Duke Scholars

Published In

Annals of plastic surgery

DOI

EISSN

1536-3708

ISSN

0148-7043

Publication Date

March 2017

Volume

78

Issue

3

Start / End Page

338 / 341

Related Subject Headings

  • United States
  • Time Factors
  • Surgery
  • Retrospective Studies
  • Practice Patterns, Physicians'
  • Postoperative Complications
  • Osteogenesis, Distraction
  • Micrognathism
  • Mandibular Reconstruction
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jenny, H. E., Massenburg, B. B., Weissler, E. H., & Taub, P. J. (2017). Neonatal Micrognathia: National Trends in Early Mandibular Surgery. Annals of Plastic Surgery, 78(3), 338–341. https://doi.org/10.1097/sap.0000000000000969
Jenny, Hillary E., Benjamin B. Massenburg, E Hope Weissler, and Peter J. Taub. “Neonatal Micrognathia: National Trends in Early Mandibular Surgery.Annals of Plastic Surgery 78, no. 3 (March 2017): 338–41. https://doi.org/10.1097/sap.0000000000000969.
Jenny HE, Massenburg BB, Weissler EH, Taub PJ. Neonatal Micrognathia: National Trends in Early Mandibular Surgery. Annals of plastic surgery. 2017 Mar;78(3):338–41.
Jenny, Hillary E., et al. “Neonatal Micrognathia: National Trends in Early Mandibular Surgery.Annals of Plastic Surgery, vol. 78, no. 3, Mar. 2017, pp. 338–41. Epmc, doi:10.1097/sap.0000000000000969.
Jenny HE, Massenburg BB, Weissler EH, Taub PJ. Neonatal Micrognathia: National Trends in Early Mandibular Surgery. Annals of plastic surgery. 2017 Mar;78(3):338–341.

Published In

Annals of plastic surgery

DOI

EISSN

1536-3708

ISSN

0148-7043

Publication Date

March 2017

Volume

78

Issue

3

Start / End Page

338 / 341

Related Subject Headings

  • United States
  • Time Factors
  • Surgery
  • Retrospective Studies
  • Practice Patterns, Physicians'
  • Postoperative Complications
  • Osteogenesis, Distraction
  • Micrognathism
  • Mandibular Reconstruction
  • Male