Subperiosteal release of the floor of the mouth in Pierre Robin sequence: experience with 12 cases

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
L Caouette-LabergeY Larocque

Abstract

Between 1983 and 1995, 12 children with Pierre Robin sequence were treated with a subperiosteal release of the floor of the mouth (SRFM) to correct severe upper-airway obstruction (group 1: n = 10) and prolonged feeding difficulties (group 2: n = 2). Eight children had isolated Pierre Robin sequence, while four had associated anomalies. The age at surgery was 2 to 13 weeks (mean, 5.2 wk) in group 1, and 8.5 months to 5 years in group 2. Postoperative endotracheal intubation was maintained for 1 to 14 days, and nasopharyngeal intubation for 3 to 13 days. One child with a tracheostomy prior to SRFM was decanulated 11 weeks postoperatively. Postoperative course was uneventful and control polysomnograms (group 1) showed a marked improvement of the obstructive phenomenons and O2 saturation levels. Children were discharged 2 to 6 weeks postoperatively (mean, 4 wk) except for the child with a tracheostomy (19 wk). The only complication was a wound infection treated with systemic antibiotics. Oral feedings were initiated shortly after extubation: six children were discharged with oral feedings only, one child required supplemental gavages for 6 weeks at home, and three children had persistent inadequate oral intake. We have found SRFM ...Continue Reading

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Citations

Jun 28, 2011·Plastic and Reconstructive Surgery·Gary F RogersJohn B Mulliken
May 27, 2010·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Janka KochelAngelika Stellzig-Eisenhauer
Jul 12, 2011·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Louise Caouette-LabergePatricia A Bortoluzzi
Apr 5, 2000·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Z DudkiewiczA Nielepiec-Jałosińska
Feb 28, 2003·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Silke WagenerRona Slator
Nov 3, 2007·The Laryngoscope·Michael E LidskyJames D Sidman
Jul 14, 2001·Otolaryngologic Clinics of North America·H St-Hilaire, D Buchbinder
Sep 10, 2014·The Neuroradiology Journal·Sergio SalernoMassimo Midiri
Feb 24, 2015·International Journal of Pediatric Otorhinolaryngology·Aurore CôtéYolène Lacroix
Jul 15, 2016·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Athari AlmajedAurore Côté
Feb 9, 2012·The Annals of Otology, Rhinology, and Laryngology·Kevin D HanDiego A Preciado
Sep 20, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Laurel B BookmanRavindhra G Elluru
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Apr 12, 2000·American Journal of Otolaryngology·A H Messner, R Pelayo

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