Pierre Robin sequence: two case reports
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Resumo
Pierre Robin sequence was first described as a syndrome;
however, it is currently recognized as a sequence that includes mi crognathia, glossoptosis, and paroxysmal respiratory obstructions.
Airway long-term treatment is necessary to avoid serious compli cations of this condition. Mandibular distraction osteogenesis (MDO)
is an effective treatment for tongue-based airway obstruction in
children with severe Pierre Robin sequence. The authors de scribed 2 cases of new-born children diagnosed with severe Pierre
Robin sequence, treated according to a fixed protocol, that is, fol lowing diagnosis, the children were taken to the surgical center
for tracheofibroscopy and tracheostomy in cases of tongue im pingement. Following general anesthesia, the patients were submitted
to MDO using a 20 mm pediatric distractor, bilaterally. After 1 mm
of distraction daily and adequate bone healing, distractors were removed and the airway evaluated. The patients showed an im provement of the airway, allowing tracheostomy removal. In
conclusion, mandibular distraction is an effective procedure for
Pierre Robin sequence.
Abstract
Assunto
Pierre Robin Syndrome, Tracheostomy, Osteogenesis, distraction
Palavras-chave
acesso restrito assunto Pierre Robin Syndrome. Pierre robin sequence: two case reports título periódico Oral surgery oral medicine oral pathology oral radiology busca dia 20/02/2024 fao clínica assunto
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https://www.sciencedirect.com/science/article/pii/S2212440318303602