AI Article Synopsis
- Neonates with Pierre Robin sequence experience airway obstruction and feeding issues due to a smaller jaw, with varying severity among patients.
- In a study of 20 newborns, patients were categorized into three groups based on their condition, with most receiving non-surgical treatments like positioning and gavage feeding.
- For those in the most severe group, surgical intervention (bilateral mandibular distraction) allowed successful breathing without needing a tracheostomy, though one patient had significant complications and another unfortunately passed away.
Article Abstract
Neonates with Pierre Robin sequence (PRs) suffer from varying degrees of airway obstruction and feeding difficulties, the courses of which differ from patient to patient, due to mandibular deficiency. We aimed to evaluate the course and prognosis of upper airway obstruction in 20 newborns with PRs. Among 15 isolated and 5 syndromic cases, 7 patients fell into Group I, 5 into Group II and 8 into Group III, respectively, according to the clinical classification system proposed by Caouette-Laberge. The 12 patients in Groups I and II were treated with positioning and gavage feeding, whereas the 6 patients in Group III underwent bilateral mandibular distraction. Decannulation or avoidance of tracheostomy was achieved in all of them. A patient who had a significant comorbidity was managed with tracheostomy and one patient expired due to pulmonary problems. When conservative measures fail, mandibular distraction osteogenesis should be considered to obviate tracheostomy in newborns with micrognathia.
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