Respiratory distress in Pierre Robin: successful use of pharyngeal tube.

Details

Serval ID
serval:BIB_39C272C285A3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Respiratory distress in Pierre Robin: successful use of pharyngeal tube.
Journal
Journal of Pediatric Surgery
Author(s)
de Buys Roessingh A.S., Herzog G., Hohlfeld J.
ISSN
1531-5037 (Electronic)
ISSN-L
0022-3468
Publication state
Published
Issued date
2007
Volume
42
Number
9
Pages
1495-1499
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
BACKGROUND/PURPOSE: The study describes a safe and least aggressive method to resolve airway obstruction in children born with a Pierre Robin sequence (PRS).
METHODS: In a retrospective study, we analyzed the assessment of airway obstruction at birth and for the following months. The definition of PRS was based on the anatomical anomaly triad cleft palate, micro/retrognathia, and glossoptosis with some degree of airway obstruction. We defined 3 categories of children depending on their difficulties of breathing or eating at birth.
RESULTS: From 1984 to 2004, 48 children were born in our hospital with a diagnosis of PRS. There were 32 children with nonsyndromic PRS (nsPRS) and 16 with syndromic PRS (sPRS): respectively, 40% (13) and 32% (5) had slight respiratory and/or feeding problems; 26% (8) and 56% (9), isolated feeding difficulties; 34% (11) and 12% (2), severe respiratory and feeding problems. Pharyngeal tube was used in 8 children with nsPRS and in 2 with sPRS. Neonatal surgery was not necessary. Primary palatoplasty was performed at almost the same time as for the patients with isolated cleft palate.
CONCLUSIONS: Children born with PRS have a good prognosis at birth provided that adequate respiratory support is given using either positive airway pressure mask or pharyngeal tube.
Keywords
Airway Obstruction/etiology, Airway Obstruction/therapy, Child, Continuous Positive Airway Pressure, Deglutition Disorders/etiology, Deglutition Disorders/therapy, Female, Humans, Intubation, Male, Pharynx, Pierre Robin Syndrome/complications, Respiratory Insufficiency/etiology, Respiratory Insufficiency/therapy
Pubmed
Web of science
Create date
28/01/2008 9:06
Last modification date
20/08/2019 13:29
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