Growth of Children with Isolated Robin Sequence Treated by Nasopharyngeal Intubation: Importance of a Hypercaloric Diet

Marques, Inara; Peres, Suely Prieto de Barros Almeida; Bettiol, Heloísa; Barbieri, Marco Antônio; Andrea, Mauro; Souza, Luiz de

doi:10.1597/02-043

Cited by 33 publications

(41 citation statements)

References 6 publications

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“…[4][5][6][7][8][9] The article concludes by proposing a single treatment protocol, which can be applied to all RS cases.…”

Section: Methodsmentioning

confidence: 99%

“…Several studies were conducted at the Hospital for Rehabilitation of Craniofacial Anomalies of Universidade de São Paulo (HRAC/USP) with the aim of resolving breathing and feeding difficulties in newborn infants, [4][5][6] which resulted in a different perspective of RS problems compared to most studies published in the international literature: RS is not only an anatomic obstructive disorder, but also a developmental disorder, and therefore it should be dealt with by a multidisciplinary team. Thus, the aim of the present article is to propose a single protocol for the treatment of breathing and feeding difficulties in newborns and infants with RS.…”

Section: Introductionmentioning

confidence: 99%

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Seqüência de Robin: protocolo único de tratamento

Marques¹,

Sousa²,

Carneiro³

et al. 2005

J. Pediatr. (Rio J.)

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Objective: To present a single protocol that might cover both the respiratory and feeding difficulties of neonates and infants with Robin sequence. Sources of data:The article was prepared on the basis of the most recent publications available in bibliographic databases and in books that discuss the treatment of Robin sequence, especially the studies conducted at the Hospital for Rehabilitation of Craniofacial Anomalies of Universidade de São Paulo (HRAC/USP). Summary of the findings:We present the morphological and genetic aspects of Robin sequence and concepts about nasopharyngoscopy and its clinical implications; we discuss the treatment of respiratory and feeding difficulties, and we present a single protocol for the treatment of all Robin sequence cases regardless of their severity and complexity.Conclusions: Robin sequence is not only an anatomic obstructive disorder to be treated with surgical procedures, but knowledge about childrens growth and development must be applied by a multidisciplinary team, since this permits the maintenance of airway permeability and of the ability to feed orally, often without the need of surgical procedures and their risks, especially when applied to neonates and small infants.

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“…[4][5][6][7][8][9] The article concludes by proposing a single treatment protocol, which can be applied to all RS cases.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Seqüência de Robin: protocolo único de tratamento

Marques¹,

Sousa²,

Carneiro³

et al. 2005

J. Pediatr. (Rio J.)

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“…The RS, in general, is defined as a triad of craniofacial anomalies, characterized by micrognathia and glossoptosis, with or without cleft palate (11).…”

Section: Introductionmentioning

confidence: 99%

Rotavirus gastroenteritis in a children's hospital specialized in craniofacial malformations

Vieira

Pereira²,

Carvalho³

2010

J. Venom. Anim. Toxins incl. Trop. Dis

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This study aimed to verify the relationship between acute diarrhea provoked by rotavirus and different indicators of craniofacial malformations. In the Hospital for Rehabilitation of Craniofacial Anomalies, 8,724 children with cleft lip and cleft palate were divided into the following groups: acute diarrhea and infection due to rotavirus (C1, n = 62), acute diarrhea (C2, n = 153) and without acute diarrhea (C3, n = 8,509). In C1, 29.03% of the cases consisted of hospital infections associated with the hospitalization period while 38.71% of the patients were aged less than six months. The percentage of children not having breastfed was significantly higher in acute diarrhea groups. Additionally, there was a seasonal prevalence of rotavirus infection between May and October. Finally, the present findings indicate that rotavirus is a predominant etiological agent for gastroenteritis in children with craniofacial malformations. Moreover, among infants younger than six months of age, type of craniofacial malformation, breastfeeding difficulty, socioeconomic level and longer hospitalization period appear to contribute to higher infection morbidity.

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“…No HRAC-USP, a INF tem sido utilizada com sucesso para tratamento dos lactentes com SR, mesmo aqueles com obstrução respiratória grave (MARQUES et al, , 2004(MARQUES et al, , 2005(MARQUES et al, , 2008 A INF tem sido descrita por vários autores como um método seguro e eficaz para tratamento da obstrução respiratória em lactentes com SR. A INF permite que, com o crescimento, ocorra a resolução da obstrução respiratória , prevenindo assim desnecessárias intervenções cirúrgicas.…”

Section: Figura 3 -Obstrução Tipounclassified

“…Após a osteotomia, a distração é usada para induzir formação óssea entre as superfícies que são gradualmente separadas, sendo descrita como um método efetivo de tratar pacientes com SR, prevenindo traqueostomia em 90% a 95% dos casos (SHEN et al, 2009 (MARQUES et al, , 2004(MARQUES et al, , 2008SOUZA et al, 2003 Nota: A= tubo Portex de silicone e fita micropore para marcar o tubo; B= tubo marcado com micropore em 7,5 cm para posicionamento 7,5 cm para dentro e 1 cm para fora da narina; C= fita de micropore de 5 cm parcialmente dividida ao meio; D= fita micropore fixada ao tubo; E= tubo pronto para introdução na narina; F= o tubo sendo introduzido na narina; G= vista do tubo através do palato; H= lactente com sequência de Robin e com intubação nasofaríngea. A distração osteogênica mandibular não faz parte do protocolo de tratamento da instituição, sendo realizada, excepcionalmente, em casos específicos.…”

Section: Distração Osteogênica Mandibularunclassified

Avaliação da dificuldade respiratória na sequência de Robin: estudo clínico e polissonográfico

Salmen¹

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Growth of Children with Isolated Robin Sequence Treated by Nasopharyngeal Intubation: Importance of a Hypercaloric Diet

Abstract: The hypercaloric diet led to an improvement in nutritional status, which in turn contributed to improved respiratory conditions in isolated RS.

Cited by 33 publications

References 6 publications

Seqüência de Robin: protocolo único de tratamento

Seqüência de Robin: protocolo único de tratamento

Rotavirus gastroenteritis in a children's hospital specialized in craniofacial malformations

Avaliação da dificuldade respiratória na sequência de Robin: estudo clínico e polissonográfico

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