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Recovering Breathing and Feeding of a Newborn with Pierre Robin Sequence

Francisnele Maria de Aquino Fraporti Tomáz1, Alvaro Henrique Borges1, Alexandre Meireles Borba1

  • 1Department of Dentistry, University of Cuiabá, Cuiabá, MT, Brazil.

Annals of Maxillofacial Surgery
|July 18, 2017
PubMed

Insights

Pierre Robin sequence (PRS) treatment using mandibular distraction osteogenesis (MDO) significantly improved a child's airway and feeding. This PRS intervention led to better respiratory function and quality of life.

Area of Science:

  • Craniofacial Surgery
  • Pediatric Otolaryngology
  • Congenital Disorders

Background:

  • Pierre Robin sequence (PRS) presents with micrognathia, glossoptosis, and airway obstruction, often with cleft palate.
  • Early diagnosis and intervention are crucial for managing PRS complications.

Observation:

  • A neonate diagnosed with PRS experienced airway instability requiring intubation, tracheostomy, and glossopexy.
  • Mandibular distraction osteogenesis (MDO) was performed due to persistent respiratory and feeding difficulties.

Findings:

  • Following MDO, the patient exhibited improved maxillofacial development by age 6, with a patent airway and no neurological deficits.
  • The MDO procedure facilitated respiratory and feeding improvements, enabling decannulation of the tracheostomy and timely palatoplasty.

Implications:

  • Mandibular distraction osteogenesis offers a viable treatment option for severe Pierre Robin sequence, enhancing patient quality of life.
  • While MDO improved outcomes, the long-term need for orthognathic surgery remains uncertain.

Keywords:
Airway obstructionPierre Robin sequencemandibular distraction osteogenesis

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