Faculty Opinions recommendation of Prevalence and severity of obstructive sleep apnea and snoring in infants with Pierre Robin sequence.

Author(s):  
Andrew Scott
2011 ◽  
Vol 48 (3) ◽  
pp. 331-336 ◽  
Author(s):  
Margit Bacher ◽  
Judit Sautermeister ◽  
Michael S. Urschitz ◽  
Wolfgang Buchenau ◽  
Joerg Arand ◽  
...  

2011 ◽  
Vol 48 (5) ◽  
pp. 614-618 ◽  
Author(s):  
Iee Ching W. Anderson ◽  
Ahmad R. Sedaghat ◽  
Brian M. McGinley ◽  
Richard J. Redett ◽  
Emily F. Boss ◽  
...  

1994 ◽  
Vol 52 (4) ◽  
pp. 554-559 ◽  
Author(s):  
Rubens Reimão ◽  
Elio Giacomo Papaiz ◽  
Luiz Fernando Papaiz

The case of a 12-year-old female patient with Pierre Robin sequence is reported, in which reduction of the pharyngeal airway leads to obstructive sleep apnea syndrome (OSAS) and excessive daytime sleepiness. Radiological evaluation, computerized tomography and magnetic resonance image showed bilateral temporomandibular ankylosis. Cephalometric data evidenced marked reduction of the posterior airway space. Three all-night polysomnographic evaluations detected severe OSAS with decrease in oxygen saturation. The Multiple Sleep Latency Test (MSLT) perfomed on two separate days objectively quantified the excessive daytime sleepiness with short sleep latencies; stage REM was not present. Polysomnography, MSLT and thorough radiologic studies, in this case, made it possible to determine the severity of OSAS, the site of obstruction, and the associated malformations.


SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A426-A426
Author(s):  
Julie Sahrmann ◽  
Brent Haberman ◽  
Rocio Zebellos

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Mohamed Hisham Mohamed Jali @ Yunos ◽  
Shaifulizan Abdul Rahman ◽  
Ramizu Shaari

Introduction: Pierre Robin Sequence (PRS) is a condition consists of set of anomalies, which are cleft palate, micrognathia and glossoptopsis. Management of patients with PRS addresses two main problems, namely airway obstruction and feeding difficulties. Airway obstruction may lead to obstructive sleep apnea (OSA). Treatment modalities for OSA are based on the causes. There are surgical and non-surgical methods. Non-surgical methods such as diet, medication, oral appliances and continuous positive airway pressure (CPAP) can only be employed in moderate cases. Surgical method such as maxillo-mandibular advancement or expansion can be achieved by orthognathic surgery or distraction osteogenesis. We present a case report of successful management of airway in a 23-year old lady who has a PRS features with severe OSA. In our case, the respiratory obstruction that was caused by retrognathic and hypoplastic mandible has been corrected successfully with distraction osteogenesis and the OSA was found to be improved tremendously.


1997 ◽  
Vol 34 (3) ◽  
pp. 256-260 ◽  
Author(s):  
David L. Abramson ◽  
Eileen M. Marrinan ◽  
John B. Mulliken

Objective We reviewed 24 children with Robin sequence who underwent cleft palate repair. Method All patients were 5 years of age or older at the time of review, allowing for accurate assessment of speech in relation to velopharyngeal function. All infants had palatal closure between 9 and 14 months of age, either V-Y repair (n = 16) or von Langenbeck repair (n = 8). Results Only 1 of 16 children who had V-Y repair had borderline velopharyngeal dysfunction (VPD). For reasons that are unclear, in the von Langenbeck repair group, six of eight children had VPD, and four of six underwent pharyngeal flap. Three additional patients with nonsyndromic Robin sequence had palatoplasty and subsequent pharyngeal flap. Six of the combined total of seven children with nonsyndromic Robin sequence developed obstructive sleep apnea and required flap take-down. Conclusion Since conventional pharyngeal flap for VPD in nonsyndromic Robin sequence children resulted in a high incidence of obstructive sleep apnea, alternative management should be considered: modification of the standard pharyngeal flap, palatal lengthening (V-Y or double-opposing Z-plasty), or construction of a speech bulb.


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