Determining an Optimal Management Strategy for upper Airway Obstruction in Pierre Robin Sequence

Mandibular Distraction Osteogenesis: Upper Airway Management in Pierre Robin Sequence

Airway management for intubation in newborns with Pierre Robin sequence.

OBJECTIVES/HYPOTHESIS To review airway management in Pierre Robin sequence (PRS) newborns undergoing general anesthesia and to determine if endotracheal intubation is safe in this population. STUDY DESIGN Case series and retrospective chart review at a tertiary children's hospital. METHODS PRS newborns who underwent endotracheal intubation or other airway intervention before 3 months of age...

Transmandibular K-wire in the management of airway obstruction in Pierre Robin sequence.

The Pierre Robin sequence was first described by Pierre Robin in 1923 as a triad of micrognathia, U-shaped cleft palate, and glossoptosis. Although the problems associated with Pierre Robin sequence may be numerous, the most acute problem in affected newborns is upper airway obstruction. The causes of upper airway obstruction are heterogeneous, and treatment is controversial and may include a l...

Tongue-lip adhesion in the management of Pierre Robin sequence with airway obstruction: technique and outcome.

BACKGROUND Airway obstruction and feeding difficulty can occur in patients born with Pierre Robin sequence. In select patients with pronounced micrognathia, surgical intervention to relieve the airway obstruction is necessary. The surgical indications and appropriate surgical procedure continue to have a great deal of controversy. The purpose of this study was to evaluate our experience of tong...

Mandibular distraction osteogenesis for neonates with Pierre Robin sequence and airway obstruction.

Neonates with Pierre Robin Sequence (PRS) usually present with varying degrees of upper airway obstruction and difficulty feeding. Early treatment is important for such children in order to prevent impaired cognitive development resulting from hypoxemic episodes. Various procedures aimed at widening the pharyngeal space have been proposed, including prone position, tongue-lip adhesion, mandibul...