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Pierre robin sequence in a neonate with suckling difficulty and weight loss
Jeffery Summers1, Jacob Ludwig2, David Kanze2
1From the Rocky Vista University College of Osteopathic Medicine in Parker, Colorado jeffrey.summers@rvu.edu.
Insights
Osteopathic manipulative treatment may help infants with Pierre Robin sequence (PRS) improve breathing and feeding. This case study explores a novel, non-surgical approach for PRS-related complications.
Area of Science:
- Pediatric medicine
- Osteopathic medicine
- Craniofacial anomalies
Background:
- Pierre Robin sequence (PRS) is a congenital condition characterized by micrognathia and glossoptosis, often causing airway obstruction and feeding difficulties in infants.
- Current management focuses on supportive care and surgical interventions for severe cases, aiming to mitigate life-threatening complications until natural jaw growth occurs.
Observation:
- This case report details the application of osteopathic manipulative treatment (OMT) in a 15-day-old newborn diagnosed with Pierre Robin sequence.
- The infant presented with significant challenges in breathing, latching, and suckling, common sequelae of PRS.
Findings:
- OMT was utilized to address the physical restrictions associated with PRS, aiming to improve respiratory function and feeding capabilities.
- The treatment focused on alleviating airway obstruction and enhancing the infant's ability to feed effectively.
Implications:
- This study highlights the potential of osteopathic manipulative treatment as a complementary or alternative therapeutic option for infants with Pierre Robin sequence.
- Further research is warranted to establish the efficacy and long-term outcomes of OMT in managing PRS-related issues.
- Exploring non-invasive treatments like OMT could offer new avenues for improving the quality of life for infants with PRS and their families.
Abstract:
Pierre Robin sequence (PRS) is a combination of micrognathia and glossoptosis that leads to airway obstruction, feeding problems, and potentially other sequelae that can complicate early life. Currently, therapy for these newborns and infants is focused on preventing fatality or complications until the jaw can grow sufficiently to correct airway obstruction and associated problems. For patients with mild PRS, treatments include conservative measures such as airway maintenance and a feeding tube. For more severe cases, a surgical procedure is necessary. To the authors' knowledge, the effectiveness of osteopathic manipulative treatment of patients with PRS has not been reported in the literature. The current case describes the use of osteopathic manipulative treatment to help alleviate difficulties with breathing and latch and suckling in a 15-day-old newborn with PRS.
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