Airway interventions in children with Pierre Robin Sequence

To describe the interventions required for successful airway management in children with Pierre Robin Sequence (PRS). Case series. The records of both a cleft and craniofacial clinic and a pediatric otolaryngology clinic were searched, and all children with PRS were identified. Data concerning feedi...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2008-06, Vol.138 (6), p.782-787
Main Authors: Meyer, Abby C., Lidsky, Michael E., Sampson, Daniel E., Lander, Timothy A., Liu, Meixia, Sidman, James D.
Format: Article
Language:English
Subjects:
Airway Obstruction - etiology
Airway Obstruction - surgery
Child
Child, Preschool
Cohort Studies
Female
Humans
Infant
Intubation, Intratracheal
Male
Mandible - surgery
Osteogenesis, Distraction
Pierre Robin Syndrome - complications
Pierre Robin Syndrome - surgery
Prone Position
Retrospective Studies
Tracheostomy
Treatment Outcome
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Summary:To describe the interventions required for successful airway management in children with Pierre Robin Sequence (PRS). Case series. The records of both a cleft and craniofacial clinic and a pediatric otolaryngology clinic were searched, and all children with PRS were identified. Data concerning feeding interventions, airway interventions, and comorbid conditions were extracted. Seventy-four cases of PRS were identified. Thirty-eight of the 74 children required airway intervention other than prone positioning. Fourteen of these 38 were managed nonsurgically with nasopharyngeal airway and/or short-term endotracheal intubation, whereas the remaining 24 required surgical intervention. Eighteen of the 24 underwent distraction osteogenesis of the mandible, one underwent tracheostomy, and five underwent tracheostomy followed by eventual distraction. In our series, over 50 percent of children with PRS required an airway intervention. These were both nonsurgical and surgical. As otolaryngologists, we must be prepared for the challenges children with PRS may present and the interventions that may be necessary to successfully manage these difficult airways.
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2008.03.002