November 1949, Vol 78, No. 5 >

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Case Reports | November 1949

STIMULATION OF MANDIBULAR GROWTH IN CONGENITAL MICROGNATHIA BY TRACTION

WILLIAM P. LONGMIRE, M.D.; MARSHALL C. SANFORD, M.D.

Am J Dis Child. 1949;78(5):750-754. doi:10.1001/archpedi.1949.02030050767012.

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ABSTRACT

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DOUGLAS¹ presented a method of overcoming the obstructive dyspnea associated with congenital micrognathia by suture of the anterior portion of the tongue to the inner surface of the lower lip, thus bringing the base of the tongue forward out of the hypopharynx and interrupting, its ball-valve action during inspiration.

Five of the 6 patients described by Douglas were fed after operation by bottle with the use of the Davis-Dunn² maxillary guard attachment to stimulate the development of the mandible. The subsequent growth of the lower jaw was apparently satisfactory in the 2 patients on whom follow-up reports were given.

It is the purpose of this communication to present a method of prolonged gentle traction which was successfully used to stimulate the development of the mandible in a case of severe congenital micrognathia. In this case the obstructive dyspnea had been relieved by the procedure described by Douglas but

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LONGMIRE WP, Jr., SANFORD MC. STIMULATION OF MANDIBULAR GROWTH IN CONGENITAL MICROGNATHIA BY TRACTION. Am J Dis Child. 1949;78(5):750-754. doi:10.1001/archpedi.1949.02030050767012.

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