Mandibular Distratction for Pierre Robin Sequence

Craniofacial and Pediatric Plastic Surgeon – Michael J. Sundine, MD, FACS, FAAP

Craniofacial and pediatric plastic surgery is a passion of mine, and has been for many years. Throughout my career as a craniofacial-pediatric plastic and reconstructive surgeon, I have found that helping pediatric patients with Pierre Robin sequence (PRS) grow and mature into wonderful people is one of the most rewarding aspects of my career.

PRS refers to an assortment of birth defects that emerge together. These defects include micrognathia (a small lower jaw), which often causes glossoptosis (a condition in which the tongue falls back toward the back of the throat, causing breathing and swallowing problems), and a u-shaped cleft palate.

To treat micrognathia and the resulting glossoptosis that appear with PRS, I frequently perform a procedure called mandibular distraction. This is a surgical method in which I increase the length of the jaw bone and surrounding tissues by attaching metal distractors on either side of the jaw bone. This procedure also pulls the tongue forward and away from the oral airway. This resolves the obstruction of the tongue that causes breathing and swallowing problems, allowing the child to breathe and eat more easily.

Mandibular distraction requires a very specialized team approach, including a close working partnership with neonatal intensive care unit (NICU) professionals. Throughout my career and in conjunction with my NICU partners, we have been honored to work with amazing kids and some very marvelous and dedicated parents. It makes me proud to know these families.

For more information about this condition and the available treatment options, please call our office at [primary_phone], so we can answer all your questions.

Patient Reviews & Testimonials

  • "Extremely Qualified"

    I was referred to Dr Sundine by the Pelican Hill Resort while I was a guest there and I suffered serious facial injuries from a mountain biking incident. Dr Sundine and his staff were concerned and caring and extremely qualified. the work performed by Dr Sundine on my face is simpl astounding. I was so impressed with the quality of care and results I received that I have had additional voluntary facila work performed by Dr Sundine. My wife and some friends have also become patients of Dr Sundine's with the same results. It is a difficult decision to entrust someone to repair and maintain one's appearance. I trust Dr Sundine.
    - MJ

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  • "Thanks, Dr. Sundine!"

    After much research and multiple visits to other surgeons, I knew right away that Dr. Sundine was the perfect choice for me. He is gentle and kind and genuinely listens to you. I felt completely confident in his ability from the first visit to the last. Even the day of the procedure, he spent ample time talking to me, taking measurements, and making marks on my body so as to get the perfect results. I have been singing his praises to all of my friends and will recommend him to anyone searching for a plastic surgeon. Thanks, Dr. Sundine!

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  • "Excellent Plastic Surgeon!"

    Dr. Sundine is an excellent plastic surgeon! I have been using his services for almost 5 years. The office setting is state of the art and his office manager Toni makes sure that everything runs efficiently. They really listen to your needs before and after surgery to make certain that you walk out fully satisfied. If you want to look years younger and fully refreshed I highly recommend that you use his services. This is not your typical Newport Beach plastic surgeon’s office. Patients walk out looking naturally gorgeous, not overdone like some of the women in Orange County! The office offers a full range of injectables, peels, and lasers in addition to major cosmetic surgery procedures. Whether you need a little tweak or surgery this is the physician that you should see!
    - Susan

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  • "You are the Best Surgeon!"

    Dr. Sundine is the best plastic surgeon. Dr. Sundine’s excellent skills and knowledge has made my surgery turn out so well. But more importantly, it made me feel better about myself. Again, thank you Dr. Sundine for all you have done for me. You are the best surgeon!
    - Thy D.

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