A new functional approach to the surgical management of pierre robin syndrome: Experimental and clinical report

Lapidot, Abraham; Rezvani, Firooz; Terrefe, Dessalegn; Ben-Hur, N

doi:10.1288/00005537-197607000-00011

Cited by 10 publications

(2 citation statements)

References 7 publications

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“…Hyomandibulopexy (by Bergoin 1971 [27] and by Lapidot 1976 [28]) is designed to anchor the hyoid bone to the mandible anteriorly and to bring the base of the tongue forward. Interference with mandibular growth is considered a drawback of this procedure.…”

Section: Discussionmentioning

confidence: 99%

Mandibular distraction in neonates: indications, technique, results

et al. 2012

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BackgroundThe Pierre Robin Sequence features were first described by Robin in 1923 and include micrognathia, glossoptosis and respiratory distress with an incidence estimated as 1:8,500 to 1:20,000 newborns. Upper airway obstruction and feeding difficulties are the main concerns related to the pathology. Mandibular distraction should be considered a treatment option (when other treatments result inadequate).Patiants and methodsTen patients between the ages of 1 month and 2 years with severe micrognathia and airway obstruction were treated with Mandibular Distraction Osteogenesis (MDO).All patients underwent fibroscopic examination of the upper airway and a radiographic imaging and/or computed tomography scans to detect malformations and to confirm that the obstruction was caused by posterior tongue displacement. All patients were evaluated by a multidisciplinary team. Indications for surgery included frequent apneic episodes with severe desaturation (70%). Gavage therapy was employed in all patients since oral feeding was not possible. The two tracheotomy patients were 5 months and 2 years old respectively, and the distraction procedure was performed to remove the tracheotomy tube. All patients were treated with bilateral mandibular distraction: two cases with an external multivector distraction device, six cases with an internal non-resorbable device and two cases with an internal resorbable device. In one case, the patient with Goldenhar's Syndrome, the procedure was repeated.ResultsThe resolution of symptoms was obtained in all patients, and, when present, tracheotomy was removed without complications. Of the two patients with pre-existing tracheotomies, in the younger patient (5 months old) the tracheotomy was removed 7 days postoperatively. In the Goldenhar's syndrome case (2 years old) a Montgomery device was necessary for 6 months due to the presence of tracheotomy-inducted tracheomalacia. Patients were discharged when the endpoint was obtained: symptoms and signs of airway obstruction were resolved, PAS and maxillomandibular relationship improved, and tracheotomy, when present, removed. During the follow-up, no injury to the inferior alveolar nerve was noted and scarring was significant in only the two cases treated with external devices.ConclusionMandibular Distraction Osteogenesis is a good solution in solving respiratory distress when other procedures are failed in paediatric patients with severe micrognatia.

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Section: Discussionmentioning

confidence: 99%

Mandibular distraction in neonates: indications, technique, results

et al. 2012

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“…Lapidot et al [83] reported using a stainless-steel wire to wrap around the hyoid bone for the purpose of stabilizing the tongue in an anterior position.…”

Section: Other Surgical Proceduresmentioning

confidence: 99%

The Evolution of Robin Sequence Treatment Based on the Biomimetic Interdisciplinary Approach: A Historical Review

Čverha,

Varga,

Trenčanská

et al. 2023

Biomimetics

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The Robin sequence is a congenital anomaly characterized by a triad of features: micrognathia, glossoptosis, and airway obstruction. This comprehensive historical review maps the evolution of approaches and appliances for its treatment from the past to the current modern possibilities of an interdisciplinary combination of modern engineering, medicine, materials, and computer science combined approach with emphasis on designing appliances inspired by nature and individual human anatomy. Current biomimetic designs are clinically applied, resulting in appliances that are more efficient, comfortable, sustainable, and safer than legacy traditional designs. This review maps the treatment modalities that have been used for patients with a Robin sequence over the years. Early management of the Robin sequence focused primarily on airway maintenance and feeding support, while current management strategies involve both nonsurgical and surgical interventions and biomimetic biocompatible personalized appliances. The goal of this paper was to provide a review of the evolution of management strategies for patients with the Robin sequence that led to the current interdisciplinary biomimetic approaches impacting the future of Robin Sequence treatment with biomimetics at the forefront.

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Treatment of Airway Obstruction in Pierre Robin Syndrome: A Modified Lip-Tongue Adhesion

Smith¹

1981

Archives of Otolaryngology - Head and Neck Surgery

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A new functional approach to the surgical management of pierre robin syndrome: Experimental and clinical report

Cited by 10 publications

References 7 publications

Mandibular distraction in neonates: indications, technique, results

Mandibular distraction in neonates: indications, technique, results

The Evolution of Robin Sequence Treatment Based on the Biomimetic Interdisciplinary Approach: A Historical Review

Treatment of Airway Obstruction in Pierre Robin Syndrome: A Modified Lip-Tongue Adhesion

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