Management of upper airway obstruction in the Pierre Robin syndrome.
Br J Oral Maxillofac Surg
; 28(2): 105-8, 1990 Apr.
Article
en En
| MEDLINE
| ID: mdl-2110818
ABSTRACT
Eight patients with Pierre Robin syndrome (PRS), were treated according to our management protocol. All our patients initially were given a trial of conservative, positional treatment, with high caloric gavage feeding. In five patients this therapeutic approach resulted in a good weight gain, with no significant respiratory distress. The remaining three patients showed no improvement, failed to thrive and therefore underwent the tongue to lip adhesion (TLA) procedure. Two patients then improved dramatically; whereas one continued with respiratory distress and failure to thrive and required tracheostomy. We conclude that when symptoms of respiratory distress and failure to thrive coexist in patients with PRS despite conservative management, surgical intervention to the airway is mandatory. TLA should be the first surgical procedure considered and if the ultimate goals of weight gain and respiratory comfort are still not achieved then tracheostomy seems inevitable.
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Bases de datos:
MEDLINE
Asunto principal:
Síndrome de Pierre Robin
/
Obstrucción de las Vías Aéreas
Tipo de estudio:
Guideline
Límite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
Br J Oral Maxillofac Surg
Año:
1990
Tipo del documento:
Article
País de afiliación:
Israel