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Management of upper airway obstruction in Pierre Robin sequence

Published online by Cambridge University Press:  29 June 2007

A. P. Bath  and
P. D. Bull
A. P. Bath*
Affiliation:
Department of Otolaryngology, Sheffield Children's Hospital, Sheffield, UK.
P. D. Bull
Affiliation:
Department of Otolaryngology, Sheffield Children's Hospital, Sheffield, UK.
*
Address for correspondence: Mr A. Bath, F.R.C.S., ENT Department, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF.
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Abstract

Pierre Robin sequence (PRS) presents in the neonatal period with upper airway obstruction and feeding difficulties. Infants with pronounced micrognathia may fail to thrive because of chronic airway obstruction, or experience severe respiratory distress. This is potentially fatal and surgical intervention in these cases is necessary. We present our series of cases with severe PRS requiring surgical relief of their airway obstruction, and the reasons for preferring tracheostomy over glossopexy.

Keywords

Airway obstructionPierre Robin syndrome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 12 , December 1997 , pp. 1155 - 1156
Copyright
Copyright © JLO (1984) Limited 1997

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References

Argamaso, R. V. (1992) Glossopexy for upper airway obstruction in Robin sequence. Cleft Palate - Craniofacial Journal 29: 232–238.CrossRefGoogle ScholarPubMed
Augarten, A., Sagy, M., Yahav, J., Barzilay, Z. (1990) Management of upper airway obstruction in the Pierre Robin syndrome. British Journal of Oral and Maxillofacial Surgery 28: 105–108.CrossRefGoogle ScholarPubMed
Bush, P. G., Williams, A. J. (1983) Incidence of the Robin anomalad (Pierre Robin syndrome). British Journal of Plastic Surgery 36: 434–437.CrossRefGoogle ScholarPubMed
Carter, P., Benjamin, B. (1983) Ten-year review of pediatric tracheotomy. Annals of Otology, Rhinology and Laryngology 92: 398–192.CrossRefGoogle ScholarPubMed
Crysdale, W. S., Feldman, R. I., Naito, K. (1988) Tracheotomies: a 10-year experience in 319 children. Annals of Otology, Rhinology and Laryngology 97: 439–443.CrossRefGoogle ScholarPubMed
Douglas, B. (1946) The treatment of micrognathia associated with obstruction by a plastic procedure. Plastic and Reconstructive Surgery 1: 300–308.CrossRefGoogle ScholarPubMed
Douglas, B. (1950) A further report on the treatment of micrognanthia with obstruction by a plastic procedure: results based on reports from 21 cities. Plastic and Reconstructive Surgery 5: 113–122.CrossRefGoogle ScholarPubMed
Freezer, N. J., Beasley, S. W., Robertson, C. F. (1990) Tracheostomy. Archives of Disease in Childhood 65: 123–126.CrossRefGoogle ScholarPubMed
Hawkins, D. B., Williams, E. H. (1976) Tracheostomy in infants and young children. Laryngoscope 86: 331–340.CrossRefGoogle ScholarPubMed
Lewis, M. B., Pasyayan, H. M. (1980) Management of infants with Robin anomaly. Clinical Pediatrics (Phila) 19: 519–528.CrossRefGoogle ScholarPubMed
Line, W. S., Hawkins, D. B., Kahlstrom, E. J., MacLaughlin, E. F., Ensley, J. L. (1986) Tracheotomy in infants and young children: the changing perspective 1970–1985. Laryngoscope 96: 510–515.CrossRefGoogle ScholarPubMed
Pasyayan, H. M., Lewis, M. B. (1984) Clinical experience with the Robin sequence. Cleft Palate - Cranofacial Journal 21: 270–276.Google ScholarPubMed
Pruzansky, S., Richmond, J. B. (1954) Growth of mandible in infants with micrognathia. American Journal of Diseases of Children 88: 29–42.Google ScholarPubMed
Robin, P. (1934) Glossoptosis due to atresia and hypotrophy of the mandible. American Journal of Diseases of Children 48: 541–547.Google Scholar
Routledge, R. T. (1960) The Pierre Robin syndrome: a surgical emergency in the neonatal period. British Journal of Plastic Surgery 13: 204–218.CrossRefGoogle ScholarPubMed
Sher, A. E. (1992) Mechanisms of airway obstruction in Robin sequence: implications for treatment. Cleft Palate - Palate Journal 29: 224–231.CrossRefGoogle ScholarPubMed
Sher, A. E., Shprintzen, R. J., Thorpy, M. J. (1986) Endoscopic observations of obstructive sleep apnea in children with anomalous upper airways: predictive and therapeutic value. International Journal of Pediatric Otorhinolaryngology 11: 135–146.CrossRefGoogle ScholarPubMed
Shinkwin, C. A., Gibbin, K. P. (1996) Tracheostomy in children. Journal of the Royal Society of Medicine 89: 188–192.CrossRefGoogle ScholarPubMed
Shprintzen, R. J. (1992) The implications of the diagnosis of Robin sequence. Cleft Palate Journal 29: 205–209.CrossRefGoogle ScholarPubMed