Using a Modified Nutrition Plate for Early Intervention in a Newborn Infant with Pierre Robin Sequence: A Case Report

2006 ◽  
Vol 43 (3) ◽  
pp. 370-373 ◽  
Author(s):  
Hüsamettin Oktay ◽  
Bülent Baydaş ◽  
Mustafa Ersöz
Keyword(s):  
Case Report ◽  
Early Intervention ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Pierre Robin Sequence ◽  
Prone Positioning ◽  
Feeding Problems ◽  
Robin Sequence ◽  
Life Threatening ◽  
Pierre Robin

Pierre Robin sequence is a triad of micrognathia, glossoptosis, and cleft palate that results in upper airway obstruction and feeding problems. It is a serious condition with potentially severe, life-threatening airway obstruction. Approaches for treatment of airway obstruction among neonates with Pierre Robin sequence include prone positioning of the infant, tongue-lip adhesion, mandibular distraction, and tracheostomy. This case report describes a modified nutrition plate and a baby treated using this appliance.

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

The Jaw Index: New Guide Defining Micrognathia in Newborns

1997 ◽  
Vol 34 (3) ◽  
pp. 240-241 ◽  
Author(s):  
Ibo Van Der Haven ◽  
J. Wiebe Mulder ◽  
Karel G.H. Van Der Wal ◽  
J. Joris Hage ◽  
Elly S.M. De Lange-De Klerk ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Airway Obstruction ◽  
Reference Group ◽  
Relevant Literature ◽  
Pierre Robin Sequence ◽  
Feeding Difficulties ◽  
Robin Sequence ◽  
Life Threatening ◽  
Characteristic Features ◽  
Pierre Robin

Objective Newborns with glossoptosis due to micrognathia can suffer from life-threatening respiratory distress and severe feeding difficulties. These characteristic features are found in newborns with Pierre Robin sequence. In the relevant literature, no concensus concerning diagnosis for these childern can be found. A guide defining micrognathia can be helpful in the diagnosis of glossoptosis and possible airway obstruction. Method The jaw index is obtained in newborns by measuring three facial dimensions. In a series of 100 healthy neonates the standard measures were defined. Results The average jaw index in children with Pierre Robin sequence differs significantly from the reference group and was found to be over 3.6 times the normal value. Conclusions Micrognathia can be defined with the Jaw index.

scholarly journals Airway and feeding problems in infants with Fairbairn-Robin triad deformities

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Susanna M. Du Plessis ◽  
Hester J.S. Van den Berg ◽  
Kurt W. Bütow ◽  
Christiaan F. Hoogendijk
Keyword(s):  
Airway Obstruction ◽  
Growth And Development ◽  
Upper Airway ◽  
Descriptive Statistics ◽  
Nutritional Management ◽  
Pierre Robin Sequence ◽  
Feeding Problems ◽  
Surgical Interventions ◽  
Feeding Difficulties ◽  
Pierre Robin

Background: The majority of patients with Pierre Robin sequence in the subdivision Fairbairn-Robin triad (FRT), are born with glossoptosis, retro-/micrognathia and cleft or agenesis of the palate leading to feeding difficulties and airway obstruction. There is limited literature on these problems, and on methods used to address them.Objectives: Community nurses in the Facial Cleft Deformity Clinic evaluate associated airway obstruction and feeding problems and devise nursing interactions to address these. This retrospective study examined the incidence of airway and feeding difficulties in the neonatal, pre-surgical period, as well as the surgical and nutritional management of these infants.Method: Retrospective records of 215 infants with FRT were examined and data on incidence, airway and feeding difficulties and surgical and nutritional management was collected. Descriptive statistics, including average and percentage values, were compiled.Results: The incidence of FRT amongst the cleft palate patients was 6.0%, with 37.7% of these having feeding difficulties. However, surgical interventions such as glossopexy (5.6%), distraction osteogenesis (0.9%) and tracheotomy (2.3%) for airway management were seldom required. Most of the infants who had upper airway obstruction and feeding problems were handled by means of suction and drinking plates, along with additional specific feeding aids. This reduced airway obstruction in 70.6%, and feeding problems in 62.4% of these infants.Conclusion: Based on this study’s finding the introduction of the suction and drinking plate and the use of specific types of feeding devices and surgical management can improve growth and development in infants with FRT.

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