Non-surgical and surgical interventions for airway obstruction in children with Robin Sequence

Lieshout, Manouk J.S. van; Joosten, Koen; Mathijssen, Irene M.J.; Wolvius, Eppo B.; Schroeff, Marc P. van der

doi:10.1016/j.jcms.2016.06.021

Cited by 30 publications

(20 citation statements)

References 59 publications

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“…The important quality of life outcomes for RS children are related to their main clinical problems regarding upper airway obstruction and feeding problems which are mostly present already early after birth. The treatment options to treat airway obstruction in RS depend on the severity of the airway obstruction and will therefore vary from conservative treatment with prone positioning to surgical treatment such as giving the child a tracheostomy [3]. Decision-making of the treatment schedule is regularly based on the treating center's preference and experience.…”

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confidence: 99%

“…Decision-making of the treatment schedule is regularly based on the treating center's preference and experience. A review regarding non-surgical and surgical interventions for airway obstruction in RS children found that in the included studies there seemed to have been a stepwise treatment approach, in which the indication for a certain treatment is the failure of another [3]. At present, it remains uncertain which treatment is best, however, all treatments will have different effects on the quality of life of RS children and their parents.…”

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confidence: 99%

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Quality of life in children undergoing treatment for Robin Sequence in infancy

Dulfer

Joosten

2021

Seminars in Fetal and Neonatal Medicine

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confidence: 99%

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confidence: 99%

Quality of life in children undergoing treatment for Robin Sequence in infancy

Dulfer

Joosten

2021

Seminars in Fetal and Neonatal Medicine

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“…. Infants with PRS can present with varying degrees of upper airway obstruction with stridor, chest retraction, sleep apnea, cyanosis, and respiratory insufficiency 3,4) . Additionally, 25% to 45% of infants with PRS present with feeding and swallowing difficulties, which may be associated with respiratory disorders .…”

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confidence: 99%

Three Cases of Pierre Robin Sequence with Upper Airway Obstruction Relieved by Nasopharyngeal Airway Insertion

Oh¹,

Park²,

Jung³

et al. 2019

Neonatal Med

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Pierre Robin sequence (PRS), also called Robin sequence, is a congenital anomaly characterized by a triad of micrognathia, glossoptosis, and upper airway obstruction. Infants with PRS can present with varying degrees of respiratory difficulty secondary to upper airway obstruction. There has been no consensus for the treatment of upper airway obstruction in infants with PRS, but recent studies recommend attempting non-surgical interventions before surgical treatment. In this case report, we present 3 cases of infants diagnosed with PRS who showed persistent respiratory difficulties after birth. Before considering surgical intervention, insertion of a nasopharyngeal airway was attempted in these infants. Following this procedure, symptoms of upper airway obstruction were relieved, and all infants were discharged without surgical interventions; the nasopharyngeal airway was removed 1 to 2 months later. To date, no infant has shown signs of upper airway obstruction. Nasopharyngeal airway insertion is a highly effective and less invasive treatment option for infants with PRS. However, it is not widely known and used in Korea. Nasopharyngeal airway insertion can be preferentially considered before surgical intervention for upper airway obstruction in such infants.

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“…Além disso, acreditase que na posição prona a extensão do pescoço e a retificação das vias aéreas podem melhorar a respiração e a obstrução respiratória. Uma recente pesquisa européia sobre os padrões atuais de prática de tratamento para os pacientes com SPR mostraram que dois terços dos clínicos usavam posicionamento de prona, principalmente em casos de obstrução respiratória leve na SPR ( VAN LIESHOUT et al, 2016).…”

Section: Posição Pronaunclassified

Evolução do tratamento de lactentes com Sequência de Pierre Robin comparação entre 3 coortes (1997-1998; 2003-2008; 2016-2018)

Castilho¹

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Agradeço, primeiramente, à Deus, pelo Dom da vida, pela presença constante e pela inspiração diária.Ao meu filho amado, Gabriel, por ser a razão do meu viver e a minha felicidade diária.Ao meu grande amor, meu marido Tiago Castilho, companheiro da vida, por tanto me incentivar e estar ao meu lado em todos os momentos alegres e difíceis. À minha querida orientadora, Dra. Ilza Lazarini Marques, pela paciência, dedicação e auxílio no decorrer da pesquisa. Pela sua extrema competência e anos dedicados ao estudo e atendimento das crianças com Sequência de Robin. AGRADECIMENTOSAo meu avô, Alcides (in memoriam), por ser meu grande exemplo de vida, por ter me ensinado tanto, por ter me incentivado e me apoiado na medicina e por quem eu devo eterno agradecimento e tenho amor infinito e saudades diárias.A minha querida avó, Seraphina, pelo amor incondicional.Aos meus amados pais, Sara e Roberto, pelos exemplos de pais, por me ensinarem os grandes valores da vida, por me auxiliarem em cada conquista, por estarem sempre ao meu lado e principalmente por todo o amor e pelos cuidados com o meu filho Gabriel.A minha querida irmã, Raquel, e ao meu cunhado, Munir, pelo carinho e apoio incessante.A minha querida afilhada, Laura, e ao meu querido sobrinho Lucas, por serem motivo de muita alegria e inspiração na minha vida.Ao meu Tio, José, grande exemplo na medicina e pelo qual conservo imenso carinho.Aos meus sogros Maria de Lourdes e Salvador pelo carinho.A coordenação do Programa de Pós-Graduação do HRAC-USP, pelo empenho em oferecer um programa de excelência.A todos os funcionários do HRAC que, de alguma maneira, me auxiliaram no desenvolvimento desta pesquisa, em especial toda equipe do arquivo de prontuários.Palavras-chaves: Sequência de Pierre Robin. Fissura palatina. Obstrução das vias aéreas respiratórias. Disfagia. Tratamento Sequencia Pierre Robin.

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Non-surgical and surgical interventions for airway obstruction in children with Robin Sequence

Cited by 30 publications

References 59 publications

Quality of life in children undergoing treatment for Robin Sequence in infancy

Quality of life in children undergoing treatment for Robin Sequence in infancy

Three Cases of Pierre Robin Sequence with Upper Airway Obstruction Relieved by Nasopharyngeal Airway Insertion

Evolução do tratamento de lactentes com Sequência de Pierre Robin comparação entre 3 coortes (1997-1998; 2003-2008; 2016-2018)

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