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Cost analysis of mandibular distraction versus tracheostomy in neonates with Pierre Robin sequence.

Authors
  • Runyan, Christopher M1
  • Uribe-Rivera, Armando2
  • Karlea, Audrey3
  • Meinzen-Derr, Jareen4
  • Rothchild, Dawn5
  • Saal, Howard6
  • Hopkin, Robert J7
  • Gordon, Christopher B8
  • 1 Division of Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA These authors contributed equally to this article [email protected]
  • 2 Division of Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA These authors contributed equally to this article.
  • 3 Kaiser Permanente Clinical Genetics Department, Oakland, California, USA.
  • 4 Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • 5 Division of Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • 6 Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • 7 Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA These authors contributed equally to this project.
  • 8 Division of Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA These authors contributed equally to this project.
Type
Published Article
Journal
Otolaryngology
Publisher
SAGE Publications
Publication Date
November 2014
Volume
151
Issue
5
Pages
811–818
Identifiers
DOI: 10.1177/0194599814542759
PMID: 25052512
Source
Medline
Keywords
License
Unknown

Abstract

For patients with severe PRS, mandibular distraction provides significant cost savings over tracheostomy ($300,000 per patient over 3 years). Increased costs with tracheostomy come from greater hospital-related charges, more frequent airway procedures, a higher incidence of gastrostomy tube feeds, and home trach care costs. A careful examination of long-term outcomes will be critical as mandibular distraction continues to gain acceptance for treatment of PRS.

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