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Airway and feeding problems in infants with Fairbairn-Robin triad deformities

Susanna M du Plessis, Hester J S van den Berg, Kurt W Bütow

    Curationis
    |December 24, 2015
    PubMed

    Insights

    Infants with Fairbairn-Robin triad (FRT) often face feeding and airway issues. Non-surgical aids like suction and drinking plates effectively manage these problems, improving infant growth and development.

    Area of Science:

    • Pediatric Surgery
    • Neonatology
    • Craniofacial Anomalies

    Background:

    • Pierre Robin sequence, specifically the Fairbairn-Robin triad (FRT), presents significant challenges including glossoptosis, retro-/micrognathia, and cleft palate.
    • These conditions frequently lead to critical feeding difficulties and airway obstruction in affected infants.
    • Existing literature on managing these complex issues in FRT patients is limited.

    Purpose of the Study:

    • To retrospectively analyze the incidence of airway obstruction and feeding difficulties in neonates with FRT.
    • To evaluate the surgical and nutritional management strategies employed for these infants.
    • To assess the effectiveness of nursing interventions in addressing FRT-related complications.

    Main Methods:

    • Retrospective review of medical records for 215 infants diagnosed with FRT.
    • Data collection focused on the incidence of feeding and airway problems, as well as surgical and nutritional interventions.
    • Descriptive statistical analysis, including calculation of averages and percentages, was performed.

    Main Results:

    • FRT occurred in 6.0% of cleft palate patients, with 37.7% experiencing feeding difficulties.
    • Surgical airway interventions (glossopexy, distraction osteogenesis, tracheotomy) were infrequently required (5.6%, 0.9%, 2.3% respectively).
    • Non-surgical methods, including suction and drinking plates, successfully reduced airway obstruction in 70.6% and feeding problems in 62.4% of infants.

    Conclusions:

    • Non-surgical management, particularly the use of suction and drinking plates and specialized feeding devices, is highly effective for FRT-related feeding and airway issues.
    • These interventions significantly improve growth and development outcomes in infants with FRT.
    • The study highlights the importance of targeted nursing interventions in managing FRT complications.
    Abstract

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