Pierre Robin sequence from orthodontic and surgical perspective |
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Authors: | Song& uuml l C& ouml mert Kılı& ccedil Nihat Kılı& ccedil H& uuml samettin Oktay Ali Kiki |
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Institution: | Songül Cömert Kılıç Department of Oral and Maxillofacial Surgery, Atatürk University, 25240 Erzurum, TurkeyNihat Kılıç Ali Kiki, Department of Orthodontics, Faculty of Dentistry, Atatürk University, 25240 Erzurum, TurkeyHüsamettin Oktay, Department of Orthodontics, Faculty of Dentistry, Istanbul Medipol University, 34083 Istanbul, Turkey |
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Abstract: | Pierre Robin sequence (PRS) is a triad of micrognathia, glossoptosis, and cleft palate that results in an obstruction of the airway on inspiration and impeding feeding. The tongue of infants with PRS fall back toward the posterior pharyngeal wall (glossoptosis) due to receding chin produced by mandibular micrognathia (small jaw) or retrognathia. This causes a serious condition with potentially severe, life-threatening airway obstruction. If untreated, this problem can lead to exhaustion, cardiac failure, and ultimately death, especially during the early months of life. Actually, in the majority of PRS infants, these symptoms can be managed by placing the infant in the prone position until adequate growth of the jaw occurs. If this type of treatment fails, the infant then should be considered for other conservative therapies or surgical interventions. This paper reviews surgical interventions such as tongue-lip adhesion, mandibular traction, mandibular distraction, tracheotomy and conservative orthodontic approaches, and presents a baby treated successfully with an orthodontic appliance. |
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Keywords: | Pierre Robin sequence Micrognathia Glossoptosis Surgical interventions Orthodontic approaches |
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