Pierre robin sequence in a neonate with suckling difficulty and weight loss.
نویسندگان
چکیده
Pierre Robin sequence (PRS) is a combination of micrognathia and glossoptosis that leads to airway obstruction, feeding problems, and potentially other sequelae that can complicate early life. Currently, therapy for these newborns and infants is focused on preventing fatality or complications until the jaw can grow sufficiently to correct airway obstruction and associated problems. For patients with mild PRS, treatments include conservative measures such as airway maintenance and a feeding tube. For more severe cases, a surgical procedure is necessary. To the authors' knowledge, the effectiveness of osteopathic manipulative treatment of patients with PRS has not been reported in the literature. The current case describes the use of osteopathic manipulative treatment to help alleviate difficulties with breathing and latch and suckling in a 15-day-old newborn with PRS.
منابع مشابه
Role of SOX9 in the Etiology of Pierre-Robin Syndrome
Objective(s:Cleft lip/palate are common congenital anomalies, affecting approximately 2/1000 live births. Pierre Robin Sequence is a subgroup of the cleft palate population. Chromosomal abnormalities near the SOX9 gene disrupt the regulation of this gene and prevent the SOX9 protein from properly controlling the development of facial structures, which leads to isolated PRS. The present study wa...
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مقدمه:Pierre Robin Sequence که قبلاً به عنوان سندروم پیر روبین نامیده میشد، شامل سه ناهنجاری مادرزادی ماندیبول کوچک، عقب افتادگی زبان و شکاف کام میباشد. به طوری که نقص اولیه عامل ایجاد نقص بعدی است. نوزادان مبتلا به این بیماری با مشکلات انسداد راه هوایی، بازگشت محتویات معده به مری وتغذیه همراهند. مداخلات صورت گرفته اغلب جهت حفظ یک راه هوایی باز است. شرح مورد: یکی از مشکلات اصلی با توجه به کو...
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BACKGROUND Airway obstruction and feeding difficulty can occur in patients born with Pierre Robin sequence. In select patients with pronounced micrognathia, surgical intervention to relieve the airway obstruction is necessary. The surgical indications and appropriate surgical procedure continue to have a great deal of controversy. The purpose of this study was to evaluate our experience of tong...
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1 Parameswari A, Vakamudi M, Manickam A et al. Nasal fiberoptic–guided oral tracheal intubation in neonates and infants with Pierre Robin sequence. Pediatr Anesth 2011; 21: 170–171. 2 Xue FS, Luo MP. Management of difficult pediatric airways. In: Xue FS, eds. Modern Airway Management: A Key Technique for Clinical Anesthesia and Critical Care Medicine. Zheng-Zhou: Zheng-Zhou University Publishin...
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ورودعنوان ژورنال:
- The Journal of the American Osteopathic Association
دوره 114 9 شماره
صفحات -
تاریخ انتشار 2014