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Late-Breaking Scientific Oral Presentations

Pediatric Otolaryngology

Session: Late-Breaking Scientific Orals: Facial Plastic and Reconstructive Surgery and Pediatric Otolaryngology

Early Feeding After Mandibular Distraction Associated With Improved Outcomes

Monday, September 30, 2024
8:06 AM – 8:12 AM EDT
Location: MBCC, 222
Disclosure(s):
Nicole L. Wershoven, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Gregory C. Allen, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Christopher M. Discolo, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Introduction: The aim of this study is to compare the feeding outcomes between 2 subsets of patients who underwent mandibular distraction osteogenesis (MDO) surgery, one subset received feeding throughout the distraction period, while the other subset was not fed until after distraction completion. The objective is to assess whether initiating feeding during the distraction phase can lead to enhanced postoperative care for patients with airway obstruction secondary to micrognathia or Pierre Robin Sequence (PRS).

Methods: A retrospective chart review (2000-2024) was performed for children who underwent mandibular distraction osteogenesis (MDO) and comparing the outcomes between those who were fed during distraction and those who were fed starting after distraction. Data was collected in RedCap database. Demographics and clinical outcomes were reported with frequency (percent) and mean (standard deviation) for categorical and continuous measures, respectively. Linear regression models were fit to compare groups for continuous outcomes.

Results: In total, 81 patients who underwent MDO for micrognathia at Children’s Hospital of Colorado from 2000-2024. For patients who started feeding during distraction they reached full feeding on average 1.4 days after distraction was complete as compared to 12.8 days for those patients who initialed feeding after distraction was complete (p = 0.024). On average, patients who were fed after distraction whether or not they achieved full oral feeds prior to discharge had on average a 14 day longer hospital stay than those patients who were fed during distraction (p < 0.01). Of patients who started feeding after distraction was completed, 45% achieved full feeds, compared to 72% who started during (p = 0.01).

Conclusions: Our findings indicate that initiating feeding while undergoing distraction could result in quicker achievement of full feeds and earlier discharge from the hospital. Overall, this change in postoperative management could have several benefits in patient outcomes and potential healthcare cost savings.

    Co-Author(s)

  • JB

    Jacob Boyd, MD, PhD

    Department of Otolaryngology, Head and Neck Surgery University of Colorado, Anschutz Medical Campus, United States

    Disclosure information not submitted.

    • Presenting Author(s)

  • Nicole L. Wershoven, MD

    Resident
    Department of Otolaryngology, Head and Neck Surgery, University of Colorado, Anschutz Medical Campus
    Aurora, CO, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Co-Author(s)

  • GA

    Gregory C. Allen, MD

    Professor
    Children's Hosp Colorado
    Aurora, CO, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

  • CD

    Christopher M. Discolo, MD

    Associate Professor
    Children's Hospital Colorado
    Aurora, CO, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Senior Author(s)

  • Christian R. Francom, MD

    Assistant Professor
    Children's Hospital Colorado
    Aurora, CO, United States

    Disclosure information not submitted.


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