Airway interventions in children with Pierre Robin Sequence

Otolaryngology - Head and Neck Surgery - Tập 138 - Trang 782-787 - 2008
Abby C. Meyer1,2, Michael E. Lidsky1, Daniel E. Sampson1, Timothy A. Lander1,2, Meixia Liu1, James D. Sidman1,2
1Children's Hospitals and Clinics of Minnesota-Minneapolis, Minneapolis, MN
2Department of Otolaryngology–Head and Neck Surgery, University of Minnesota, Minneapolis, MN

Tóm tắt

ObjectiveTo describe the interventions required for successful airway management in children with Pierre Robin Sequence (PRS).Study DesignCase series.Subjects and MethodsThe 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.ResultsSeventy‐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.ConclusionIn 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.

Tài liệu tham khảo

Robin P, 1934, Glossoptosis due to atresia and hypotrophy of the mandible., Am J Dis Child, 48, 541 10.1016/0007-1226(83)90123-6 10.1016/S0022-3476(75)80063-1 10.1097/01.PRS.0000110323.50084.21 10.1016/S0165-5876(02)00131-3 10.1016/j.ijporl.2005.07.003 10.1597/1545-1569(2001)038<0171:CEWIWR>2.0.CO;2 10.1597/1545-1569(2003)040<0013:SAMIPR>2.0.CO;2 10.1597/1545-1569_1992_029_0224_moaoir_2.3.co_2 10.1597/1545-1569(2003)040<0180:MOIWPR>2.0.CO;2 10.1097/00006534-194611000-00007 10.1597/1545-1569_1992_029_0232_gfuaoi_2.3.co_2 10.1097/00001665-200409000-00023 10.1097/00006534-199289010-00001 10.1097/00005537-200107000-00004 10.1097/00001665-200201000-00018 10.1097/00006534-200203000-00011 10.1017/S0022215100139581 10.1016/S0165-5876(86)80008-8 10.1597/1545-1569_1992_029_0205_tiotdo_2.3.co_2
Thông tin
Thông tin xuất bản

Otolaryngology - Head and Neck Surgery

Tập 138

782-787

Thông tin tác giả