Management of upper airway obstruction in Pierre Robin sequence

1997 ◽  
Vol 111 (12) ◽  
pp. 1155-1156 ◽  
Author(s):  
A. P. Bath ◽  
P. D. Bull
Keyword(s):  
Airway Obstruction ◽  
Surgical Intervention ◽  
Neonatal Period ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Pierre Robin Sequence ◽  
Severe Respiratory Distress ◽  
Feeding Difficulties ◽  
Robin Sequence ◽  
Pierre Robin

AbstractPierre 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.

Management of upper airway obstruction by non-invasive CPAP in neonates with Pierre Robin sequence

2015 ◽  
Author(s):  
Alessandro Amaddeo ◽  
Veronique Abadie ◽  
Veronique Soupre ◽  
Christel Chalouhi ◽  
Marta Fernandez Bolanos ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Pierre Robin Sequence ◽  
Non Invasive ◽  
Robin Sequence ◽  
Pierre Robin

A Randomized Clinical Trial of a New Orthodontic Appliance to Improve Upper Airway Obstruction in Infants with Pierre Robin Sequence

2007 ◽  
Vol 151 (2) ◽  
pp. 145-149 ◽  
Author(s):  
Wolfgang Buchenau ◽  
Michael S. Urschitz ◽  
Judit Sautermeister ◽  
Margit Bacher ◽  
Tina Herberts ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Airway Obstruction ◽  
Randomized Clinical Trial ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Pierre Robin Sequence ◽  
Orthodontic Appliance ◽  
Robin Sequence ◽  
Pierre Robin

Management of Infants with Pierre Robin Sequence

2003 ◽  
Vol 40 (2) ◽  
pp. 180-185 ◽  
Author(s):  
Silke Wagener ◽  
Sukh S. Rayatt ◽  
Andy J. Tatman ◽  
Peter Gornall ◽  
Rona Slator
Keyword(s):  
Airway Obstruction ◽  
Outcome Measures ◽  
Nutritional Support ◽  
Upper Airway ◽  
Pierre Robin Sequence ◽  
Monitoring Methods ◽  
Feeding Difficulties ◽  
Robin Sequence ◽  
Nasopharyngeal Airway ◽  
Pierre Robin

Objective Several methods of treating babies with Pierre Robin sequence have been described since the condition itself was first documented in 1923. The main aim of treatment has been to relieve upper airway obstruction. Treatment methods used range from positioning of the baby to invasive surgery. The aim of this article was to describe the assessment, treatment, and monitoring methods used for babies referred with Pierre Robin sequence (PRS). Setting/Patients From December 1995 to May 2000, 22 consecutive patients were admitted to Birmingham Children's Hospital with PRS. Their airway and nutritional status were assessed and continuously monitored. Interventions Treatment concentrated on the relief of airway obstruction with a nasopharyngeal airway (NPA) and nutritional support of the babies until they grew out of their respiratory and feeding difficulties. Main Outcome Measures Outcome measures were oxygen saturation, growth of the babies, and the need for surgery. Results All babies were managed successfully with an NPA and nutritional support. No baby required surgery, and the majority showed good weight gain. Conclusion Relieving airway obstruction by NPA is an effective and safe treatment for babies with PRS until they have grown out of their respiratory and feeding difficulties. It avoids the need for surgery and can be used on neonatal wards using the monitoring described.

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