Nasopharyngeal Tube and Functional Treatment in Pierre Robin Sequence: A Tertiary Clinical Experience From 150 Cases.
Cleft Palate Craniofac J
; 59(7): 891-898, 2022 07.
Article
in En
| MEDLINE
| ID: mdl-34313144
ABSTRACT
OBJECTIVES:
To describe the initial care practices for children with Pierre Robin sequence (PRS) and analyze the factors predicting the severity of the obstruction breathing disorders.DESIGN:
A retrospective single-center study of 150 children with PRS.SETTING:
Single tertiary care center, Regional Competence Center for the diagnosis and treatment of PRS. PATIENTS A total of 150 children with PRS consecutively followed between 1986 and 2017. Group 1 comprises children without specific respiratory management; group 2, children requiring prone positioning to alleviate their respiratory distress symptoms; and group 3, children requiring nasopharyngeal airway tube (NT) or nonconservative surgical treatment. MAIN OUTCOMEMEASURES:
Evolution and results of the initial treatment of PRS.RESULTS:
Forty-two percent (n = 63) were attributed to group 1, 39% (n = 50) to group 2, and 19% (n = 29) to group 3. Preterm birth, birth weight, or associated congenital malformations were not significantly different between the groups. However, the age of exclusive oral feeding was significantly different 1 day (quartiles 0-3) for group 1; 11 days (quartiles 1-28) for group 2; 39 days (quartiles 19-111) for group 3 (P < .0001). Considering the NT, its use relieves the upper airway obstruction, assessed by a respiratory polygraphy, in 14 children.CONCLUSIONS:
Nasopharyngeal airway tube has become our major first-line treatment, avoiding more complex procedures in most of the cases. The achievement of exclusive oral feeding seems to be a good predictor of the severity of respiratory symptoms in PRS.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pierre Robin Syndrome
/
Premature Birth
/
Airway Obstruction
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child
/
Female
/
Humans
/
Infant
/
Newborn
Language:
En
Journal:
Cleft Palate Craniofac J
Year:
2022
Document type:
Article