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The presentation, etiology, and treatment of obstructive sleep apnea/obstructive hypoventilation on neonates are different than on adults; it is considered sleep apnea as one episode per hour for more than 10 seconds, with saturation lower than 87% and increased CO2. Anatomical and neurofunctional factors are the cause of upper respiratory alterations that produce lack of coordination in the forces that contract and dilate the airways; retro-micrognathia as an anatomical cause can be isolated or syndrome. Hypoxemia and hypercapnia increase intra-thoracic negative pressure with cellular damage as a consequence without being able to quantify the brain injury in the neonatal stage. This descriptive observational study of a series of cases carried out between 2000 and 2011, in 47 neonatal patients from the intensive care unit for neonates in Hospital Universitario del Valle and Imbanaco Medical Center in Cali, Colombia, presenting retro-micrognathia and obstructive apnea or obstructive hypoventilation. These were surgically intervened with the partial fracture of mandibular distraction and elongation shows that the obstructive apnea disappears within a week, compared to previous treatments in newborns with this diagnosis. Clinical improvement is evident and avoids tracheotomy and possible complications by hypoxia, lowering hospitalization time.

Codivilla A. On the jeans of lengthening in the coger limbs,muscles and tissues which are shortened through deformity.Am J Orthop Surg. 1905; 2: 353.2.llizarov GA, Devyatov AA, Kamerin VK. Plastic reconstructionof longitudinal bone defects by jeans of compression andsubsequent distraction. Acta Chir Plast. 1980; 22: 32.3.Snyder CC, Levine GA, Swanson HM, Browne EZ. Mandibularlengthening by gradual distraction: a preliminary report. PlastReconstr Surg. 1973; 51: 506.4.Aronson J, Harp JH, Mechanical forces as predictors ofhealing during tibial lengthening by distraction osteogenesis.Clin Orthop. 1994; 301: 73-9.5.Karp NS, Thorne CHM, McCarthy JC, Sissons HA. Bonelengthening in the craneofacial skeleton. Ann Plast Surg.1990; 24: 231.6.McCarthy JC, Schreiber J, Karp N, Thorne CHM, GraysonBH. Lengthening the human mandible by gradual distraction.Plast Reconstr Surg. 1992; 89: 1-10.7.Monasterio FO, Drucker M, Molina F, hasta 6 autores y luegoet al. Distraction osteogenesis in Pierre Robin sequence andrelated respiratory problems in children. J Craniofac Surg.2002; 13: 79-83.8.Rogers GF, Mulliken JB, Primary management of severerespiratory compromise in Robin sequence. Plast Surg Forum.2002; 23: 73.9.Danielle D, Jeffrey LM. Mandibular distraction osteogenesisfor Pierre Robin sequence: what percentage of neonates needsit? J Craniofac Surg. 2008; 19: 1237-43.10. Denny A, Kalantarian B. Mandibular distraction in neonates:A strategy to avoid tracheostomy. PlastReconstr Surg. 2002;109: 896.

Caycedo, D. J. (2024). Why mandible distraction on neonates with sleep apnea? 47 cases. Colombia Medica, 42(3), 362–368. https://doi.org/10.25100/cm.v42i3.890 (Original work published September 26, 2011)

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