6: Prenatal Diagnostic of Pierre-Robin Sequence (PRS) Using Ultrasound

PurposePierre-Robin Sequence (PRS) is characterized by micrognathia and glossoptosis and can result in upper airway obstruction. Prenatal diagnosis of PRS facilitates delivery team preparation for an airway emergency. Routine 20-week ultrasounds screen facial features and can characterize mandibular...

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Bibliographic Details
Published in:Plastic and reconstructive surgery. Global open 2021-07, Vol.9 (7S), p.24-25
Main Authors: Islam, Raeesa, Anstadt, Erin, Bruce, Madeleine, Pfaff, Miles, Canavan, Timothy, Goldstein, Jesse
Format: Article
Language:English
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PSRC 2021 Abstract Supplement
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Summary:PurposePierre-Robin Sequence (PRS) is characterized by micrognathia and glossoptosis and can result in upper airway obstruction. Prenatal diagnosis of PRS facilitates delivery team preparation for an airway emergency. Routine 20-week ultrasounds screen facial features and can characterize mandibular morphology and the maxillomandibular relationship. This study aimed to evaluate 20-week fetal ultrasounds to determine if specific facial measurements could predict PRS diagnosis and disease severity. MethodsA retrospective case control study of 40 patients with PRS and 40 gender-matched controls (24 male, 16 female in each cohort) between January 2014 and May 2019 was performed. Respiratory and surgical interventions were recorded and scored for severity. Mid-sagittal profile images of the ultrasounds were reviewed and measured for 3 parameters to assess micrognathiafacial nasomental angle (FNMA), facial-maxillary angle (FMA), and alveolar overjet. FMA
ISSN:2169-7574
2169-7574
DOI:10.1097/01.GOX.0000770056.06953.44