{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:38:11Z","timestamp":1789177091177,"version":"build-2803163510"},"reference-count":35,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T00:00:00Z","timestamp":1629244800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to assess early adverse events and patient factors associated with complications following mandible distraction osteogenesis (MDO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The American College of Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) database, years 2012 to 2019, was queried for patients undergoing mandible advancement via relevant Current Procedural Terminology and postoperative diagnosis codes. Thirty-day adverse events and co-morbidities are assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 208 patients were identified with 17.3% (n\u2009=\u200936) experiencing an adverse event, reoperation (n\u2009=\u200914), and readmission (n\u2009=\u200911) being most common. Patients &lt;\u2009365 days old at the time of operation were more likely to experience an adverse event (26.1% vs 10.8%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.005). However, among patients less than 1 year of age, differences in the complication rates between patients \u2009\u2264\u200928 days and &gt;28 days (30.2% vs 22.2%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.47) and those weighing \u2009\u2264\u20094\u2005kg and &gt;4\u2005kg (31.7% vs 11.5%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.063) did not reach statistical significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adverse events following mandible advancement are relatively common, though often minor. In our analysis of the NSQIP-Pediatric database, neonatal age (\u2009\u2264\u200928 days) or weight \u2009\u2264\u20094\u2005kg did not result in a statistically significant increase in complications among patients less than 1 year of age. Providers should consider early intervention in patients who may benefit from MDO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211037852","type":"journal-article","created":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T07:39:10Z","timestamp":1629272350000},"page":"1176-1184","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Early Adverse Events Following Pediatric Mandibular Advancement: Analysis of the ACS NSQIP-Pediatric Database"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3225-2408","authenticated-orcid":false,"given":"Kevin J.","family":"Carlson","sequence":"first","affiliation":[{"name":"Eastern Virginia Medical School, Norfolk, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6757-8905","authenticated-orcid":false,"given":"Suhas R.","family":"Bharadwaj","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Norfolk, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William M.","family":"Dougherty","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Norfolk, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5758-9050","authenticated-orcid":false,"given":"Eric J.","family":"Dobratz","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Norfolk, VA, 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