Short-term and four-year feeding and respiratory outcomes of infants with micrognathia.

OBJECTIVE

To describe feeding and respiratory outcomes at discharge and at the most recent follow-up visit prior to four years old in infants evaluated for micrognathia.

STUDY

DESIGN

Single-center retrospective analysis of 218 patients admitted and evaluated with congenital micrognathia during infancy. Outcomes were compared based on treatment (medical, mandibular distraction osteogenesis, or tracheostomy), and also compared based on syndromic status.

RESULTS

Tube feeding was required by 81% of infants at discharge and 41% at follow-up. Respiratory support was required by 32% at discharge and 22% at follow-up. There were no differences in feeding and respiratory support at discharge and at follow-up between medical treatment and mandibular distraction osteogenesis. Tracheostomy was associated with more tube feeding and respiratory support at both discharge and at follow-up. Genetic syndromes were more likely to require tube feeding and respiratory support.

CONCLUSION

Long-term feeding and respiratory support are common in infants hospitalized with micrognathia.