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Congenital deformities affect the face and the upper and lower jaws. This
includes children who have craniofacial deformities such as Apert’s, Crouzon’s,
and Treacher-Collins, Pierre Robin Complex, hemifacial microsomia, etc. Initial
treatment of these children focuses on their ability to breathe and eat
normally. Some of these infants will need a tracheotomy and possibly a feeding
tube.
The surgical treatment of children with these craniofacial deformities usually
was delayed until adolescence and involved single or double jaw-correction (Orthagnathic
surgery). This approach is still used in some patients with mild deformities. Recently,
Distraction Osteogenesis, has been used to treat these patients
at an earlier age. Distraction Osteogenesis has been used in the newborn with
respiratory difficulties and small lower jaw to stretch the lower jaw and avoid
the use of tracheotomy. |