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Management of by Prolonged: Pierre Robin Syndrome in Infancy Nasoesophageal Intubation

Management of by Prolonged: Pierre Robin Syndrome in Infancy Nasoesophageal Intubation Abstract A simple method of providing protracted airway patency for infants with the Pierre Robin syndrome is nasoesophageal intubation with a small caliber soft plastic catheter. This prevents development of the high posterior pharyngeal negative pressures which are caused by repeated swallowing and sucking and which may pull the tongue into the posterior pharynx to produce airway obstruction. The nasoesophageal tube may be inserted quickly as an emergency measure and may be replaced easily if dislodged. It may be used for several weeks, or months, during which time some infants will grow sufficiently to obviate the need for tongue traction procedures, which are associated with moderately high risk during the neonatal period. More severe cases of Pierre Robin syndrome may require eventual employment of a lip-tongue adhesion when the child is old enough to tolerate the procedure with lower risk. References 1. Randall P, Krogman WM, Jahina S: Pierre Robin and the syndrome that bears his name . Cleft Palate J 2:237-246, 1965. 2. Robin P: Glossoptosis due to atresia and hypertrophy of the mandible . Amer J Dis Child 48:541-547, 1934. 3. Pratt AE: The Pierre Robin syndrome . Brit J Radiol 39:390-392, 1966.Crossref 4. Fletcher MM, Blum SL, Blanchard CL: Pierre Robin syndrome pathophysiology of obstructive episodes . Laryngoscope 79:547-560, 1969.Crossref 5. McKenzie J: The first arch syndrome . Develop Med Child Neurol 8:55-66, 1966.Crossref 6. Crow ML, Holder TM, McCoy FJ, et al: The use of temporary gastrostomy to prevent aspiration in Pierre Robin syndrome . Plast Reconstr Surg 35:494-503, 1965.Crossref 7. Lewis SR, Lynch JB, Blocker TG Jr: Fascial slings for tongue stabilization in Pierre Robin syndrome . Plast Reconstr Surg 42:237-241, 1968.Crossref 8. Robertson NRE: Micrognathos (or Pierre Robin syndrome) . Brit Dent J 125:395-397, 1968. 9. Malson TS: Prosthesis for the newborn . J Prosth Dent 21:384-387, 1969.Crossref 10. Callister AC: Hypoplasia of the mandible (micrognathy) with cleft palate . Amer J Dis Child 53:1057-1059, 1937.Crossref 11. Shatten WE, Tidmore TL Jr: Airway management in patients with Pierre Robin syndrome . Plast Reconstr Surg 38:309-311, 1966.Crossref 12. Berggren RB, Duran RJ: Pitfalls in the treatment of the Pierre Robin syndrome . J Pediat Surg 5:539-542, 1970.Crossref 13. Dennison WM: The Pierre Robin syndrome . Pediatrics 36:336-341, 1965. 14. Douglas B: The treatment of micrognathia associated with obstruction by a plastic procedure . Plast Reconstr Surg 1:300-308, 1946.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Management of by Prolonged: Pierre Robin Syndrome in Infancy Nasoesophageal Intubation

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1972.02110130080012
Publisher site
See Article on Publisher Site

Abstract

Abstract A simple method of providing protracted airway patency for infants with the Pierre Robin syndrome is nasoesophageal intubation with a small caliber soft plastic catheter. This prevents development of the high posterior pharyngeal negative pressures which are caused by repeated swallowing and sucking and which may pull the tongue into the posterior pharynx to produce airway obstruction. The nasoesophageal tube may be inserted quickly as an emergency measure and may be replaced easily if dislodged. It may be used for several weeks, or months, during which time some infants will grow sufficiently to obviate the need for tongue traction procedures, which are associated with moderately high risk during the neonatal period. More severe cases of Pierre Robin syndrome may require eventual employment of a lip-tongue adhesion when the child is old enough to tolerate the procedure with lower risk. References 1. Randall P, Krogman WM, Jahina S: Pierre Robin and the syndrome that bears his name . Cleft Palate J 2:237-246, 1965. 2. Robin P: Glossoptosis due to atresia and hypertrophy of the mandible . Amer J Dis Child 48:541-547, 1934. 3. Pratt AE: The Pierre Robin syndrome . Brit J Radiol 39:390-392, 1966.Crossref 4. Fletcher MM, Blum SL, Blanchard CL: Pierre Robin syndrome pathophysiology of obstructive episodes . Laryngoscope 79:547-560, 1969.Crossref 5. McKenzie J: The first arch syndrome . Develop Med Child Neurol 8:55-66, 1966.Crossref 6. Crow ML, Holder TM, McCoy FJ, et al: The use of temporary gastrostomy to prevent aspiration in Pierre Robin syndrome . Plast Reconstr Surg 35:494-503, 1965.Crossref 7. Lewis SR, Lynch JB, Blocker TG Jr: Fascial slings for tongue stabilization in Pierre Robin syndrome . Plast Reconstr Surg 42:237-241, 1968.Crossref 8. Robertson NRE: Micrognathos (or Pierre Robin syndrome) . Brit Dent J 125:395-397, 1968. 9. Malson TS: Prosthesis for the newborn . J Prosth Dent 21:384-387, 1969.Crossref 10. Callister AC: Hypoplasia of the mandible (micrognathy) with cleft palate . Amer J Dis Child 53:1057-1059, 1937.Crossref 11. Shatten WE, Tidmore TL Jr: Airway management in patients with Pierre Robin syndrome . Plast Reconstr Surg 38:309-311, 1966.Crossref 12. Berggren RB, Duran RJ: Pitfalls in the treatment of the Pierre Robin syndrome . J Pediat Surg 5:539-542, 1970.Crossref 13. Dennison WM: The Pierre Robin syndrome . Pediatrics 36:336-341, 1965. 14. Douglas B: The treatment of micrognathia associated with obstruction by a plastic procedure . Plast Reconstr Surg 1:300-308, 1946.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jul 1, 1972

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