J Korean Assoc Oral Maxillofac Surg.  2016 Feb;42(1):47-50. 10.5125/jkaoms.2016.42.1.47.

Tongue-lip adhesion in Pierre Robin sequence

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Baby Memorial Hospital, Calicut, India. anand6527@gmail.com
  • 2Department of Maxillofacial Surgery, Baby Memorial Hospital, Calicut, India.

Abstract

Patients with Pierre Robin sequence exhibit varying degrees of airway obstruction and feeding difficulty. In some patients, airway obstruction may be profound, warranting surgical intervention to maintain a patent airway. The purpose of this article is to highlight the advantages of the tongue-lip adhesion procedure for the management of airway obstruction in such patients compared to the currently available options.

Keyword

Pierre Robin syndrome; Tongue-lip adhesion; Airway obstruction

MeSH Terms

Airway Obstruction
Humans
Pierre Robin Syndrome*

Figure

  • Fig. 1 Neonate with Pierre Robin sequence.

  • Fig. 2 A. Contact area marked on lower lip. B. Contact area marked over ventral surface of tongue. C. Flaps raised. D. Flaps raised and approximated. E. Closure.

  • Fig. 3 A. Late postoperative profile view. B. Late postoperative showing lip. C. Late postoperative showing ventral surface of toungue. D. Late postoperative showing lip and toungue. E. Late postoperative lateral profile view.


Reference

1. Huang F, Lo LJ, Chen YR, Yang JC, Niu CK, Chung MY. Tonguelip adhesion in the management of Pierre Robin sequence with airway obstruction: technique and outcome. Chang Gung Med J. 2005; 28:90–96. PMID: 15880984.
2. Benjamin B, Walker P. Management of airway obstruction in the Pierre Robin sequence. Int J Pediatr Otorhinolaryngol. 1991; 22:29–37. PMID: 1917336.
Article
3. Kirschner RE, Low DW, Randall P, Bartlett SP, McDonald-Mc-Ginn DM, Schultz PJ, et al. Surgical airway management in Pierre Robin sequence: is there a role for tongue-lip adhesion. Cleft Palate Craniofac J. 2003; 40:13–18. PMID: 12498601.
Article
4. Denny AD, Talisman R, Hanson PR, Recinos RF. Mandibular distraction osteogenesis in very young patients to correct airway obstruction. Plast Reconstr Surg. 2001; 108:302–311. PMID: 11496167.
Article
5. Douglas B. The treatment of micrognathia associated with obstruction by a plastic procedure. Plast Reconstr Surg (1946). 1946; 1:300–308. PMID: 20278146.
Article
6. Sher AE, Shprintzen RJ, Thorpy MJ. Endoscopic observations of obstructive sleep apnea in children with anomalous upper airways: predictive and therapeutic value. Int J Pediatr Otorhinolaryngol. 1986; 11:135–146. PMID: 3744695.
Article
7. Augarten A, Sagy M, Yahav J, Barzilay Z. Management of upper airway obstruction in the Pierre Robin syndrome. Br J Oral Maxillofac Surg. 1990; 28:105–108. PMID: 2110818.
Article
8. Routledge RT. The Pierre-Robin syndrome: a surgical emergency in the neonatal period. Br J Plast Surg. 1960; 13:204–218. PMID: 13744041.
Article
9. Randall P. The Robin anomalad: micrognathia and glossoptosis with airway obstruction. In : Converse JM, editor. Reconstructive plastic surgery. Philadelphia: WB Saunders;1977. p. 2235–2245.
10. Argamaso RV. Glossopexy for upper airway obstruction in Robin sequence. Cleft Palate Craniofac J. 1992; 29:232–238. PMID: 1591256.
Article
11. Delorme RP, Larocque Y, Caouette-Laberge L. Innovative surgical approach for the Pierre Robin anomalad: subperiosteal release of the floor of the mouth musculature. Plast Reconstr Surg. 1989; 83:960–964. PMID: 2727168.
Full Text Links
  • JKAOMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr