Document Detail

Respiratory distress in Pierre Robin sequence: an experience with mandible traction by wires.
MedLine Citation:
PMID:  21237615     Owner:  NLM     Status:  MEDLINE    
Congenital retrognathia and glossoptosis characterize isolated Pierre Robin sequence (iPRS); the small mandible and its retracted position cause retrodisplacement of the tongue and reduction of the oropharyngeal airway. These neonates may be affected by airway obstruction, feeding difficulties, failure to thrive, and chronic hypoxaemia. To solve the respiratory problems secondary to glossoptosis, various treatments have been described including prone positioning, a nasopharyngeal tube, glossopexy, and mandibular distraction. Over the last 28 years, the authors have treated 118 neonates and infants affected by iPRS by carrying out traction of the mandible using two parasymphyseal wires, positioned under local anaesthesia. All the procedures were successful, with no major complication. The patients' respiratory problems and apnoea disappeared suddenly after beginning traction.
U Baciliero; S Spanio di Spilimbergo; M Riga; E Padula
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Publication Detail:
Type:  Journal Article     Date:  2011-01-14
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  40     ISSN:  1399-0020     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-25     Completed Date:  2011-09-27     Revised Date:  2012-03-25    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  464-70     Citation Subset:  D; IM    
Copyright Information:
Copyright © 2010 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
Cleft Center and Maxillofacial Unit at the Hospital of Vicenza, San Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, Italy.
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MeSH Terms
Airway Obstruction / etiology,  surgery
Bone Wires
Cleft Palate / therapy
Consumer Satisfaction
Follow-Up Studies
Infant, Newborn
Intubation, Gastrointestinal
Mandible / surgery*
Oxygen / blood
Palatal Obturators
Parents / psychology
Pierre Robin Syndrome / complications*
Prone Position
Respiratory Insufficiency / etiology,  surgery*
Retrognathism / etiology,  surgery
Retrospective Studies
Tongue Diseases / congenital
Traction / methods*
Treatment Outcome
Reg. No./Substance:
Comment In:
Int J Oral Maxillofac Surg. 2012 Feb;41(2):275; author reply 275   [PMID:  22047953 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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