TY - JOUR
T1 - Paradigm Shift in Airway Management for Pierre Robin Sequence
T2 - Tongue Base Suspension
AU - Safri, Shabbir
AU - Wickemeyer, Johanna L.
AU - Valika, Taher S.
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/5/1
Y1 - 2021/5/1
N2 - Surgical management of the airway in children with Pierre Robin Sequence (PRS) includes tongue lip adhesion and mandibular distraction. Herein, the authors report the first case of an alternative surgical approach, the tongue base suspension (TBS).A full-term 5-week-old male with PRS with difficulty managing his airway through noninvasive mechanisms. A polysomnogram revealed severe obstructive sleep apnea (OSA) despite support. Parents desired the least invasive surgical approach, and therefore TBS was offered. Child underwent TBS without complications and weaned from 15L high flow to room air over 48 hours. Post-procedure polysomnogram revealed complete resolution of OSA. The child was discharged home without any supplemental support.The standard of surgical care for children with PRS has been either tongue lip adhesion or mandibular distraction. While their success is well-established, no alternatives have been considered. The authors demonstrate TBS can provide a less invasive, equally viable, and improved alternative in children with PRS.
AB - Surgical management of the airway in children with Pierre Robin Sequence (PRS) includes tongue lip adhesion and mandibular distraction. Herein, the authors report the first case of an alternative surgical approach, the tongue base suspension (TBS).A full-term 5-week-old male with PRS with difficulty managing his airway through noninvasive mechanisms. A polysomnogram revealed severe obstructive sleep apnea (OSA) despite support. Parents desired the least invasive surgical approach, and therefore TBS was offered. Child underwent TBS without complications and weaned from 15L high flow to room air over 48 hours. Post-procedure polysomnogram revealed complete resolution of OSA. The child was discharged home without any supplemental support.The standard of surgical care for children with PRS has been either tongue lip adhesion or mandibular distraction. While their success is well-established, no alternatives have been considered. The authors demonstrate TBS can provide a less invasive, equally viable, and improved alternative in children with PRS.
KW - Obstructive sleep apnea
KW - Pierre Robin sequence
KW - tongue base suspension
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U2 - 10.1097/SCS.0000000000007198
DO - 10.1097/SCS.0000000000007198
M3 - Article
C2 - 33181612
AN - SCOPUS:85121958405
SN - 1049-2275
VL - 32
SP - E288-E290
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 3
ER -