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Published on: January 17, 2011
Airway interventions in children with Pierre Robin Sequence.
Abby C Meyer1, Michael E Lidsky, Daniel E Sampson
1Children's Hospitals and Clinics of Minnesota-Minneapolis, Minneapolis, MN 55455, USA. stri0106@umn.edu
Summary
Over half of children with Pierre Robin Sequence (PRS) need airway interventions, including non-surgical and surgical options. Otolaryngologists must be prepared for managing these challenging pediatric airways.
Area of Science:
- Pediatric Otolaryngology
- Craniofacial Surgery
- Airway Management
Background:
- Pierre Robin Sequence (PRS) is a congenital condition characterized by micrognathia, glossoptosis, and airway obstruction.
- Airway management in infants with PRS presents significant challenges due to their unique anatomy.
Purpose of the Study:
- To detail the interventions necessary for effective airway management in pediatric patients diagnosed with Pierre Robin Sequence (PRS).
Main Methods:
- A case series approach was employed, reviewing records from cleft/craniofacial and pediatric otolaryngology clinics.
- Data extraction focused on feeding, airway interventions, and associated comorbidities in children with PRS.
Main Results:
- Out of 74 identified PRS cases, 38 (over 50%) required airway intervention beyond prone positioning.
- Non-surgical management (nasopharyngeal airway, endotracheal intubation) was used in 14 cases, while 24 required surgical intervention, including distraction osteogenesis and tracheostomy.
Conclusions:
- A significant proportion of children with PRS necessitate airway interventions, encompassing both non-surgical and surgical methods.
- Otolaryngologists must anticipate and be equipped to manage the complex airway challenges presented by children with PRS.
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