Abstract
Unique features of pediatric patients need certain qualifications and specialized centers for management of any malformations, trauma, or pathologies in craniomaxillofacial region. In this chapter, surgical and non-surgical management of pediatric and neonatal patients with Pierre Robin sequence is discussed. The chapter focuses on multidisciplinary nature of this anomaly, as the care for these patients includes multiple systems, such as gastrointestinal, ventilatory, upper airway considerations, feeding sufficiency, etc. If these children should be hospitalized, the medical center must include either pediatric or neonatal intensive care unit (PICU/NICU) and a medical team of pediatricians, general surgeons, nutritionists, physiotherapist, pediatric anesthesiologist, pediatric surgeons, and maxillofacial surgeons.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Robin P. La chute de la base de la langue considėrėe comme une nouvelle cause de gȇne dans la respiration nasopharyngienne. Bull Acad Med (Paris). 1923;89:37–40.
Mackay DR. Controversies in the diagnosis and management of the Robin sequence. J Craniofac Surg. 2011;22(2):415–20.
Hunt JA, Hobar PC. Common craniofacial anomalies: the facial dysostoses. Plast Reconstr Surg. 2002;11(7):1714–25. quiz 1726, discussion 1727-1728
Bush PG, William AJ. Incidence of the Robin anomalad (Pierre Robin syndrome). Br J Plast Surg. 1983;36(4):434–7.
Izumi K, Konczal LL, Mitchel AL, et al. Underlying genetic diagnosis of Pierre Robin sequence: retrospective chart review at two children’s hospitals and a systematic review. J Pediatr. 2012;16(4):645–50.
Caouette-Laberge L, Bayet B, Larocque Y. The Pierre Robin sequence: review of 125 cases and evolution of treatment modalities. Plast Reconstr Surg. 1994;93(5):934–42.
Chan KC, Shi L, So HK, et al. Neurocognitive dysfunction and grey matter density deficit in children with obstructive sleep apnea. Sleep Med. 2014;15(9):1055–61.
Grigg-Damberger M, Ralls F. Cognitive dysfunction and obstructive sleep apnea: from cradle to tomb. Curr Opin Pulm Med. 2012;18(6):580–7.
Marcus CL, Brooks LJ, Draper KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012;130(3):576–84.
Blenchner M, Williamson AA. Consequences of obstructive sleep apnea in children. Curr Probl Pediatr Adolesc Health Care. 2016;46(1):19–26.
Marcus CL, Carroll JL, Koerner CB, Hamer A, Lutz J, Loughlin GM. Determinants of growth in children with the obstructive sleep apnea syndrome. J Pediatr. 1994;125(4):556–62.
Sommerlad B. Philadelphia, PA: Saunders Elsevier; 2009. Cleft Palate; pp. 508–509.
Shprintzen RJ. The implications of the diagnosis of Robin sequence. Cleft Palate Craniofac J. 1992;29(3):205–9.
Evans AK, Rahbar R, Rogers GF, Mulliken JB, Volks MS. Robin sequence: a retrospective review of 115 patients. Int J Pediatr Otorhinolaryngol. 2006;70(6):973–80.
Kirschner RE, Low DW, Randall P, et al. Surgical airway management in Pierre Robin sequence: is there a role for tongue-lip adhesion? Cleft Palate Craniofac J. 2003;40(1):13–8.
Amaddeo A, Abadie V, Chaloui C, et al. Continuous positive airway pressure for upper airway obstruction in infants with Pierre Robin sequence. Plast Reconstr Surg. 2016;137(2):609–12.
Gandini D, Brimacombe J. Laryngeal mask airway for ventilator support over a 4-day period in a neonate with Pierre Robin sequence. Pediatr Anesth. 2003;13(2):181–2.
Almajed A, Viezel-Mathieu A, Gilardino MS, Flores RL, Tholpady SS, Cote A. Outcome following surgical interventions for micrognathia in infants with Pierre Robin sequence: a systematic review of the literature. Cleft Palate Craniofac J. 2017;54:32. Epub 2016 Jul 14
Barlett SP, Losee JE, Baker SB. Reconstruction: craniofacial syndromes. In: Mathes SJ, editor. Plastic surgery, vol. IV. 2nd ed. Philadelphia, PA: Elsevier; 2006. p. 495–520.
Bijnen CL, Don Griot PJ, Mulder WJ, Haumann TJ, Van Hagen AJ. Tongue-lip adhesion in the treatment of Pierre Robin sequence. J Craniofac Surg. 2009;20(2):315–20.
Rogers GF, Murthy AS, LaBrie RA, Mulliken JB. The gills score: part I. patient selection for tongue-lip adhesion in Robin sequence. Plast Reconstr Surg. 2011;128(1):243–51.
Tahiri Y, Viezel-Mathieu A, Aldekhayel S, Lee J, Gilardino M. The effectiveness of mandibular distraction in improving airway obstruction in the pediatric population. Plast Reconstr Surg. 2014;133(3):352e–9e.
Reddy VS. Evaluation of upper airway obstruction in infants with Pierre Robin sequence and the role of polysomnography—review of current evidence. Paediatr Respir Rev. 2016;17:80–7.
Lee VS, Evans KN, Perez FA, Oron AP, Perkins JA. Upper airway computed tomography measures and receipt of tracheostomy in infants with Robin sequence. JAMA Otolaryngol Head Neck Surg. 2016;142(8):750–7.
Ow AT, Cheung LK. Meta-analysis of mandibular distraction osteogenesis: clinical application and functional outcomes. Plast Reconstr Surg. 2008;121(3):54e–69e.
Miloro M. Mandibular distraction osteogenesis for pediatric airway management. J Oral Maxillofac Surg. 2010;68(7):1512–23.
Breik O, Tivey D, Umapathysivam K, Anderson P. Mandibular distraction osteogenesis for the management of upper airway obstruction in children with micrognathia: a systematic review. Int J Oral Maxillofac Surg. 2016;45(6):769–82.
Boston M, Rutter MJ. Current airway management in craniofacial anomalies. Curr Opin Otolaryngol Head Neck Surg. 2003;11(6):428–32.
Molina F, Ortiz-Monasterio F. Mandibular elongation and remodeling by distraction: a farewell to major osteotomies. Plast Reconstr Surg. 1995;96(4):825–40.
Fritz MA, Sidman JD. Distraction osteogenesis of the mandible. Curr Opin Otolaryngol Head Neck Surg. 2004;12(6):513–8.
Denny A, Amm C. New technique for airway correction in neonates with severe Pierre Robin sequence. J Pediatr. 2005;147(1):97–101.
Evans KN, Sie KC, Hopper RA, Glass RP, Hing AV, Cunningham ML. Robin sequence: from diagnosis to development of an effective management plan. Pediatrics. 2011;127(5):936–48.
Cohen M Jr. Dysmorphology, syndromology, and genetics in plastic surgery. In: McCarthy JG, editor. Plastic surgery. Philadelphia, PA: WB Saunders; 1990. p. 69–112.
Collares MV, Duarte DW, Sobral DS, Portinho CP, Faller GJ, Fraga MM. Neonatal mandibular distraction osteogenesis reduces cleft palate width and lengthens soft palate, influencing palatoplasty in patients with Pierre Robin sequence. J Craniofac Surg. 2016;27(5):1267–72.
Nadjmi N, Van-Erum R, De-Bodt M, Bronkhorst EM. Two-stage palatoplasty using a modified Furlow procedure. Int J Oral Maxillofac Surg. 2013;42:551–8.
Sommerlad BC. A technique for cleft palate repair. Plast Reconstr Surg. 2003;112:1542–8.
Alipour F, Scherer RC. Pressure and velocity profiles in a static mechanical hemilarynx model. J Acoust Soc Am. 2002;112(6):2996–3003.
Richter GT, Thompson DM. The surgical management of laryngomalacia. Otolaryngol Clin N Am. 2008;41(5):837–64.
Reddy DK, Matt BH. Unilateral vs. bilateral supraglottoplasty for severe laryngomalacia in children. Arch Otolaryngol Head Neck Surg. 2001;127(6):694.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Rahsepar, B., Nadjmi, N., Foroutan, H., Ghanbari, I. (2021). Management of Infants with Pierre Robin Sequence. In: Keyhan, S.O., Fattahi, T., Bagheri, S.C., Bohluli, B., Amirzade-Iranaq, M.H. (eds) Integrated Procedures in Facial Cosmetic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-46993-1_63
Download citation
DOI: https://doi.org/10.1007/978-3-030-46993-1_63
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-46992-4
Online ISBN: 978-3-030-46993-1
eBook Packages: MedicineMedicine (R0)