Mandibular Distraction Osteogenesis as Paradigm Shift for Treatment of Tongue-Based Obstructive Apnea: Results of a 16-Year, Hospital-Wide Intervention Trial
MDO implementation achieved high success rates while reducing tracheostomy rates. Non-surgical management with CPAP achieved airway normalization in selected patients despite prolonged treatment duration. Machine learning models outperformed traditional scoring systems, identifying neurologic disorders and lower airway pathology as key failure predictors to guide surgical decision-making.
Authors
- Jesse A. Taylor (ORCID: https://orcid.org/0000-0003-2827-5471)
- Isabel A. Ryan
- Allison C. Hu (ORCID: https://orcid.org/0000-0003-4760-0292)
- Eric C. Liao (ORCID: https://orcid.org/0000-0001-6385-7448)
- Joseph A. Napoli (ORCID: https://orcid.org/0000-0003-3750-9305)
- Nicholas A. Han
- Philip D. Tolley
- Benjamin B. Massenburg
- Jordan W. Swanson
- Scott P. Bartlett
Institutions
- Children's Hospital of Philadelphia (US)
Publication Details
- Journal
- Plastic & Reconstructive Surgery
- Published
- 2026-03-17
- DOI
- https://doi.org/10.1097/prs.0000000000013043
- Primary Topic
- Craniofacial Disorders and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00