The Pierre Robin anomalad consists of micrognathia and glossoptpsis with of wothout cleft palate leading to respiratory distress and feeding problems in neonatal period. Neonates with this sequence should have prompt medical attention and subsequent early intervention, otherwise they may succumb to detrimental effects of respiratory distress and feeding problems.
In this reports, eight years experiences for early management of Pierre Robin anomalad patients from the Hospital for Sick Children in Toronto were presented.
1. Among 28 patients, there were 26 of feeding difficulty and 18 of respiratory distress.
2. Managements for the feeding difficulty were position only(2/26), feeding device(6/26), gavages feeding(16/26) and gastrostomy(2/26)
3. Managements for the respiratory distress were position only (6/18), naso/oro pharyngeal airway(4/18), endotracheal intubation(4/18) and tracheostomy(4/18).
4. Even though the limited role of surgery still exists, the majority of these patients had been successfully managed by nonsurgical treatment modalities.
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