Carotid Artery Dissection and Stroke Complicating Treatment of Postmandibular Distraction Ankylosis: A Case Report. (May 2015)

• Record Type: Journal Article
• Authors: Arnspiger, Sarah A.; Felder, John M.; Wood, Benjamin C.; Rogers, Gary F. M.D.; Oh, Albert K.
• Is Part Of: Cleft palate-craniofacial journal. Volume 52:Number 3(2015)
• Page Start: 373
• Page End: 376
• Publication Date: 2015-05
• Subjects: distraction osteogenesis -- mandibular distraction -- mandibular pseudoankylosis -- micrognathia -- Robin sequence -- stroke -- surgical complications -- Treacher Collins syndrome; Cleft palate -- Periodicals; Skull -- Abnormalities -- Periodicals; Cranial manipulation -- Periodicals; Skull -- Abnormalities -- Surgery -- Periodicals; Face -- Abnormalities -- Surgery -- Periodicals; Fente palatine -- Périodiques; Crâne -- Malformations -- Périodiques; Manipulation crânienne -- Périodiques; Crâne -- Malformations -- Chirurgie -- Périodiques; Face -- Malformations -- Chirurgie -- Périodiques; Cleft palate; Cranial manipulation; Face -- Abnormalities -- Surgery; Skull -- Abnormalities; Skull -- Abnormalities -- Surgery; Cleft Lip; Cleft Palate; Facial Bones -- abnormalities; Skull -- abnormalities; Periodicals; Periodicals; Periodicals; 617.522
• DOI: 10.1597/14-008
• Languages: English
• ISSNs: 1055-6656

Abstract

Mandibular distraction osteogenesis is an increasingly accepted treatment option for severe upper airway obstruction in grade 3 Robin sequence. Complications are rarely reported but can include fracture, pin dislodgement, tooth bud damage, and temporomandibular joint ankylosis. Operative correction of these complications can carry inherent risks of their own. We present a patient who incurred carotid artery dissection and stroke after release of postdistraction coronoid-zygomatic ankylosis for the treatment of mandibular micrognathia.