Orthodontic plate for management of obstructive sleep apnoea in infants with Pierre Robin sequence: experience and protocol in Hong Kong.
J Orthod
; 46(4): 367-373, 2019 12.
Article
en En
| MEDLINE
| ID: mdl-31597511
ABSTRACT
OBJECTIVE:
To present the application of the pre-epiglottic baton plate (PEBP) in infants with Pierre Robin sequence (PRS) in the Southern Chinese population (Hong Kong) and to present the diagnosis and management protocol of these infants in our centre.DESIGN:
Retrospective case series of three patients with PRS.SETTING:
Neonatal Intensive Care Unit in Kwong Wah Hospital and Craniofacial Orthodontic Centre in United Christian Hospital, Hong Kong.PARTICIPANTS:
Three new-born infants (two girls, one boy) with PRS and upper airway obstruction due to glossoptosis.METHODS:
A protocol for the diagnosis and management of these infants in the Southern Chinese population (Hong Kong) was presented. The three patients received nasal high-flow oxygen and/or continuous positive airway pressure (CPAP) as first-line respiratory support, followed by PEBP for 3-5 months. A two-stage approach was undertaken to ensure accurate positioning of the PEBP.RESULTS:
All three infants had improvement in clinical signs, symptoms and polysomnography upon discharge. PEBP and other respiratory aids were weaned off at 3-6 months.CONCLUSIONS:
The PEBP, combined with other respiratory support, is a useful modality in the treatment of obstructive sleep apnoea in infants with PRS.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Síndrome de Pierre Robin
/
Apnea Obstructiva del Sueño
/
Obstrucción de las Vías Aéreas
Tipo de estudio:
Guideline
/
Observational_studies
Límite:
Female
/
Humans
/
Infant
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Orthod
Asunto de la revista:
ODONTOLOGIA
/
ORTODONTIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Hong Kong