THE PIERRE ROBIN SYNDROME

PEDIATRICS ◽  
1965 ◽  
Vol 36 (3) ◽  
pp. 336-341 ◽  
Author(s):  
Wallace M. Dennison
Keyword(s):  
Nursing Care ◽  
Surgical Procedures ◽  
Tube Feeding ◽  
In Utero ◽  
Skilled Nursing ◽  
Pierre Robin Syndrome ◽  
Limited Experience ◽  
Pierre Robin

The whole object of the medical and nursing care of infants with the Pierre Robin syndrome is to keep them alive and thriving in their perilous passage through the early months of life until the failure of mandibular development in utero is subsequently rectified by nature. From my limited experience of this condition I suggest that surgery has little to offer in the treatment of the Pierre Robin syndrome. Cap suspension, tube feeding, and skilled nursing are more important than any surgical procedures.

THE PIERRE ROBIN SYNDROME (GLOSSOPTOSIS, MICROGNATHIA, CLEFT PALATE)

PEDIATRICS ◽  
1961 ◽  
Vol 27 (1) ◽  
pp. 128-133
Author(s):  
J. Lawton Smith ◽  
Fred R. Stowe
Keyword(s):  
Cleft Palate ◽  
Nursing Care ◽  
Marked Improvement ◽  
Positive Family History ◽  
Congenital Glaucoma ◽  
Mucous Secretion ◽  
Pierre Robin Syndrome ◽  
History Of ◽  
Ophthalmologic Examination ◽  
Pierre Robin

Thirty-nine cases of the Pierre Robin syndrome have been reviewed. In one-fourth of the cases, a history of an intrauterine disturbance in early pregnancy was noted. The entity appears to occur more frequently in offspring of elderly mothers. A positive family history was noted in two instances. The history is typical, with difficulty in swallowing and recurrent cyanotic episodes noted in the newborn. The child often reveals marked sternal retraction, excessive mucous secretion and stertorous respirations which appear quite alarming when in the supine position, but there is usually marked improvement when the child is placed in the prone position, allowing the ptotic tongue to fall forward. Physical examination reveals micrognathia (producing an "Andy Gump" appearance), cleft palate or other defects of the hard and soft palate, and various anomalies of the tongue, the most common being glossoptosis. The associated defects are discussed. In the majority of cases the Pierre Robin syndrome is seen without other significant defects than the triad of micrognathia, cleft palate and glossoptosis. Medical and nursing care are considered. Attention is drawn to the occurrence of ocular disease in these children, e.g., congenital glaucoma and retinal detachment. It is recommended that all cases of the Pierre Robin syndrome have a thorough ophthalmologic examination under anesthesia, including dilatation for ophthalmoscopy and tonometry, prior to 1 year of age.

Neurodevelopment following exposure to antiseizure medications in utero: a review

2021 ◽  
Vol 19 ◽  
Author(s):  
Rebecca L Bromley ◽  
Matthew Bluett-Duncan
Keyword(s):  
Lower Risk ◽  
In Utero ◽  
Neurodevelopmental Outcomes ◽  
Unexposed Control ◽  
Long Period ◽  
Risks And Benefits ◽  
Limited Experience ◽  
Potential Impact ◽  
Child's Brain ◽  
In Pregnancy

: Exposure in the womb to antiseizure medications and their potential impact on the developing child's brain has long been researched. Despite this long period of interest, this review highlights above the well-known risks associated with valproate exposure; more data is required for conclusions regarding all other antiseizure medications. Limited experience with phenytoin and phenobarbital in monotherapy clearly defines the risk to later child postnatal functioning difficult. However, the evidence of an impact is stronger for phenobarbital than for phenytoin. The widely prescribed lamotrigine is limited in its investigation compared to unexposed control children. It has been demonstrated to carry a lower risk than valproate for specific outcomes; whether associated with a more moderate impact on broader aspects of neurodevelopmental functioning is still to be understood. Data for levetiracetam, topiramate, and oxcarbazepine are too limited to conclude most neurodevelopmental outcomes confidently. This slow accumulation of evidence impacts the safest use of medications in pregnancy and makes counseling women regarding the risks and benefits of specific antiseizure drugs difficult. Improved focus, funding, and research methodologies are urgently needed.

scholarly journals A Giant Heart Tumor in Neonate with Clinical Signs of Pierre - Robin Syndrome

2017 ◽  
Vol 71 (2) ◽  
pp. 141
Author(s):  
Ramush Bejiqi ◽  
Ragip Retkoceri ◽  
Hana XhemaBejiqi ◽  
Rinor Bejiqi ◽  
Arlinda Maloku
Keyword(s):  
Clinical Signs ◽  
Pierre Robin Syndrome ◽  
Heart Tumor ◽  
Pierre Robin

scholarly journals Correlation between clinical risk factors and tracheal intubation difficulty in infants with Pierre-Robin syndrome: A systematic review

2020 ◽  
Author(s):  
Yanli Liu ◽  
Jiashuo Wang ◽  
Shan Zhong
Keyword(s):  
Computed Tomography ◽  
Tracheal Intubation ◽  
Surface Area ◽  
Body Surface ◽  
Pierre Robin Syndrome ◽  
Intubation Difficulty ◽  
Computed Tomography Images ◽  
The Difference ◽  
And Gender ◽  
Pierre Robin

Abstract Background: Difficult tracheal intubation is a problem commonly encountered by anesthesiologists in the clinic. Methods: In this retrospective study, case-level clinical data and computed tomography images of 96 infants with Pierre-Robin syndrome were included in the analysis. First, computed tomography images were labeled by a clinically experienced physician. Then color space conversion, binarization, contour acquisition, and area calculation processing were performed on the annotated files. Finally, we calculated the correlation coefficient between the seven clinical factors and tracheal intubation difficulty, and the difference in each risk factor under tracheal intubation difficulty. Results: The absolute value of the correlation coefficient between throat area and tracheal intubation difficulty is 0.54, and the difference of throat area under tracheal intubation difficulty is significant. Body surface area, weight and gender also show significant difference under tracheal intubation difficulty. Conclusions: There is a significant correlation between throat area and tracheal intubation difficulty in infants with Pierre-Robin syndrome. Body surface area, weight and gender may have an impact on tracheal intubation difficulty in infants with Pierre-Robin syndrome.

The Pierre Robin Syndrome associated with femoral dysgenesis

1980 ◽  
Vol 33 (2) ◽  
pp. 237-241 ◽  
Author(s):  
D.O. Maisels ◽  
J.H. Stilwell
Keyword(s):  
Pierre Robin Syndrome ◽  
Pierre Robin
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