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Resolving feeding difficulties with early airway intervention in Pierre Robin Sequence.

Publication ,  Journal Article
Lidsky, ME; Lander, TA; Sidman, JD
Published in: Laryngoscope
January 2008

OBJECTIVES/HYPOTHESIS: To observe rates of gastrostomy tube (g-tube) placement in Pierre Robin Sequence (PRS) and to determine whether relieving airway obstruction solves feeding difficulties. STUDY DESIGN: All PRS referrals to a multidisciplinary cleft team for children at a tertiary pediatric hospital from January 1988 to June 2006 were retrospectively reviewed. METHODS: Patients were analyzed for occurrence of g-tube placement, neurologic disorders, and airway intervention including tracheotomy and mandibular distraction osteogenesis. RESULTS: Sixty-seven PRS patients were divided into two categories: 51 (76.1%) isolated PRS (iPRS) and 16 (23.9%) with additional disorders and syndromes (sPRS). Patients were then placed into two subgroups: those who received early airway intervention and those who received late or no airway intervention. Of the 51 iPRS children, 12 (23.5%) received early airway intervention, none of whom required a g-tube. There were 39 (76.5%) children who received late or no airway intervention, and 5 (12.8%) of these required g-tube placement. Of the 16 sPRS children, 8 (50%) received early airway intervention, and 7 (87.5%) of these still required a g-tube. Of the remaining 8 (50%) sPRS patients who received late or no airway intervention, 5 (62.5%) required a g-tube. CONCLUSION: In children with iPRS, feeding difficulties can be resolved with early airway intervention. Delaying airway intervention may necessitate feeding assistance because all of the iPRS children who required a g-tube fell into this category. The presence of additional disorders and syndromes further complicates treatment because most of the sPRS children required g-tubes regardless of airway intervention.

Duke Scholars

Published In

Laryngoscope

DOI

ISSN

0023-852X

Publication Date

January 2008

Volume

118

Issue

1

Start / End Page

120 / 123

Location

United States

Related Subject Headings

  • Tracheotomy
  • Time Factors
  • Retrospective Studies
  • Pierre Robin Syndrome
  • Otorhinolaryngology
  • Osteogenesis, Distraction
  • Mandible
  • Intubation, Gastrointestinal
  • Infant
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lidsky, M. E., Lander, T. A., & Sidman, J. D. (2008). Resolving feeding difficulties with early airway intervention in Pierre Robin Sequence. Laryngoscope, 118(1), 120–123. https://doi.org/10.1097/MLG.0b013e31815667f3
Lidsky, Michael E., Timothy A. Lander, and James D. Sidman. “Resolving feeding difficulties with early airway intervention in Pierre Robin Sequence.Laryngoscope 118, no. 1 (January 2008): 120–23. https://doi.org/10.1097/MLG.0b013e31815667f3.
Lidsky ME, Lander TA, Sidman JD. Resolving feeding difficulties with early airway intervention in Pierre Robin Sequence. Laryngoscope. 2008 Jan;118(1):120–3.
Lidsky, Michael E., et al. “Resolving feeding difficulties with early airway intervention in Pierre Robin Sequence.Laryngoscope, vol. 118, no. 1, Jan. 2008, pp. 120–23. Pubmed, doi:10.1097/MLG.0b013e31815667f3.
Lidsky ME, Lander TA, Sidman JD. Resolving feeding difficulties with early airway intervention in Pierre Robin Sequence. Laryngoscope. 2008 Jan;118(1):120–123.
Journal cover image

Published In

Laryngoscope

DOI

ISSN

0023-852X

Publication Date

January 2008

Volume

118

Issue

1

Start / End Page

120 / 123

Location

United States

Related Subject Headings

  • Tracheotomy
  • Time Factors
  • Retrospective Studies
  • Pierre Robin Syndrome
  • Otorhinolaryngology
  • Osteogenesis, Distraction
  • Mandible
  • Intubation, Gastrointestinal
  • Infant
  • Humans