gms | German Medical Science

86. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

13.05. - 16.05.2015, Berlin

Glossopexy for upper airway obstruction in a patient with Pierre Robin Sequence

Meeting Abstract

Suche in Medline nach

  • corresponding author Jaroslava Hybaskova - Department of ORL, University Hospital Ostrava, Ostrava, Czech Republic
  • Pavel Komínek - Department of Otorhinolaryngology, University Hospital Ostrava, Ostrava, Tschechische Republik
  • Karol Zeleník - Department of Otorhinolaryngology, University Hospital Ostrava, Ostrava, Tschechische Republik

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 86. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Berlin, 13.-16.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15hnod026

doi: 10.3205/15hnod026, urn:nbn:de:0183-15hnod0262

Veröffentlicht: 26. März 2015

© 2015 Hybaskova et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen. Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden. Lizenz-Angaben siehe http://creativecommons.org/licenses/by-nc-nd/3.0/.


Gliederung

Text

Introduction: Pierre Robin sequence (PRS) is a congenital malformation. One of its typical sign is micrognathia, which often causes retroposition of the tongue with possible significant airway obstruction and feeding difficulties. The symptoms usually disappear around one year of the age, when the lower jaw, the oropharynx, and tongue musculature are more developed. If conservative treatment is not sufficient, a surgical procedure such as a tongue-lip adhesion can be performed.

Material/Methods: The case report of premature twin baby with PRS is presented. The baby was born at 27th gestation week by Caesarean operation with typical signs of PRS included micrognatia. Immediate postnatal adaptation was good. However, at the age of four month repeated episodes of desaturation occurred. Retroposition of the tongue and very narrow retrolingual space was diagnosed using flexible endoscopy. Repeated episodes of desaturation happened again, so that labioglossopexy was performed. Dehiscence of the suture with repeated episodes of desaturation occurred 11th day after surgery. So that a new tongue-lip adhesion was performed. Further course was uneventful. Three month after surgrery is child doing well, without any episodes of desaturation.

Results: Labioglossopexy (tongue-lip adhesion) is an effective procedure of treatment the respiratory obstruction associated with retroposition of the tongue typical for PRS. Surgical technique and its advantages and possible complications are discussed.

Conclusions: Labioglossopexy in patients with PRS should be balanced against the other operations, namely tracheostomy and mandibular distraction. Labioglossopexy is less invasive method then tracheostomy, simplifies nursing care, shortens hospital stay and makes homecare less demanding.

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