Long Term Speech and Feeding Outcomes in Patients With Pierre Robin Sequence

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alexander Morzycki ◽  
Curtis Budden ◽  
Samuel Skulsky ◽  
Loredana Cuglietta ◽  
Regan Guilfoyle
2017 ◽  
Vol 54 (6) ◽  
pp. 754-757 ◽  
Author(s):  
Sok Yan Tay ◽  
Woei Shyang Loh ◽  
Thiam Chye Lim

Objective This clinical report is the first literature report exploring the issues of an absent epiglottis in children diagnosed with Nager syndrome. Absent epiglottis has previously been described in children with Pierre Robin sequence and other syndromes. Conclusion The function of the epiglottis and its contribution to swallowing has always been debated. In this article and from our literature review, we felt that absent epiglottis possibly contributed to the aspiration risk and may partly explain the long-term feeding issues in these children despite corrective surgeries.


2020 ◽  
Vol 146 (5) ◽  
pp. 599e-606e ◽  
Author(s):  
Miles J. Pfaff ◽  
Fransia De Leon ◽  
Laura Le ◽  
Christos Haveles ◽  
Claire Liu ◽  
...  

2020 ◽  
Vol 63 (2) ◽  
pp. 86-90
Author(s):  
Girish Gulab Meshram ◽  
Neeraj Kaur ◽  
Kanwaljeet Singh Hura

Pierre Robin sequence (PRS) is characterized by the triad of retrognathia, glossoptosis, and airway obstruction. PRS may occur in isolation or in conjunction with other syndromes. Distinguishing isolated and syndromic forms of PRS helps clinicians decide the management plan. We describe two cases of PRS of Indian ethnicity and describe some of the difficulties that we faced while distinguishing isolated PRS from syndromic PRS. Both cases had a similar clinical presentation. However, one of the cases had a positive family history of congenital deafness and cleft palate, whereas the other case had apparent upper limb anomalies. These facts heightened the suspicion of an associated syndrome. However, based on the available facts and after thorough investigations, a tentative diagnosis of isolated PRS was made for both the patients. Both the cases were managed conservatively and were advised a long-term follow-up. When the associated anomalies are few, minor or concealed at birth, longitudinal follow-up of all PRS cases combined with thorough diagnostics including chromosomal analysis could help differentiate syndromic PRS from isolated PRS. Regardless, all cases of PRS require a multidisciplinary approach.


1998 ◽  
Vol 118 (5) ◽  
pp. 630-635 ◽  
Author(s):  
Charles M. Myer ◽  
J. Mark Reed ◽  
Robin T. Cotton ◽  
J. Paul Willging ◽  
Sally R. Shott

There is a great deal of controversy regarding the long-term management of airway obstruction in children with Pierre Robin sequence. All 23 pediatric otolaryngology fellowship programs were surveyed to determine their current practice patterns. Issues that were addressed included methods of evaluation of airway obstruction, including polysomnography, choices for home care in children in whom observation and positioning treatment failed, and complications of the various treatment modalities. The lack of unanimity among the respondents mirrors the controversy found in the literature. Though tracheotomy appears to be favored as the method of long-term management, responses from those surveyed often were based on emotions as much as on scientific data. This report details those findings and offers suggestions to clinicians involved with the management of patients with Pierre Robin sequence with airway compromise. (Otolaryngol Head Neck Surg 1998;118:630–5.)


2006 ◽  
Vol 43 (3) ◽  
pp. 317 ◽  
Author(s):  
Keramettin Ugur Ozkan ◽  
Yusuf Kenan Coban ◽  
Murat Uzel ◽  
Mehmet Ergun ◽  
Hafize Oksuz

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