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Labio-Glossopexy in a Patient with Pierre Robin Sequence


Authors: J. Hybášková 1;  T. Vítečková 2;  R. Poláčková 2;  Karol Zeleník 1,3 ;  Pavel Komínek 1,3
Authors place of work: Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice Ostrava, přednosta prof. MUDr. P. Komínek, Ph. D., MBA 1;  Neonatologické oddělení, Fakultní nemocnice Ostrava, přednosta MUDr. R. Poláčková 2;  Katedra kraniofaciálních oborů, Lékařská fakulta, Ostravská univerzita, vedoucí katedry prof. MUDr. P. Komínek, Ph. D., MBA 3
Published in the journal: Otorinolaryngol Foniatr, 64, 2015, No. 2, pp. 119-121.
Category: Case Reports

Summary

Pierre Robin sequence 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. If conservative treatment is not sufficient, a surgical procedure can be performed. Labio-glossopexy in patients with PRS should be balanced against the other operations, namely tracheostomy and mandibular distraction. Labio-glossopexy is less invasive method then tracheostomy, simplifies nursing care, shortens hospital stay and makes homecare less demanding.

Keywords:
labio-glossopexy, tongue-lip adhesion, Pierre Robin Sequence, airway obstruction


Zdroje

1. Argamasso, R. V.: Glossopexy for upper airway obstruction in Robin Sequence. Cleft Palate – Craniofacial Journal, 29, 1992, s. 232-238.

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3. Souhlas, B.: The treatment of micrognathia associated with obstruction by a plastic procedure. Plast. Reconstr. Surgery, 1, 1946, s. 300-308.

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7. Kirschner, R. E., Low, W. L., Randálů, P., Bartlett, S. P., McDonald-McGinn, M. D., Schultz, J. P., Zackai, E. H., LaRossa, D.: Surgical airway management in Pierre Robin Sequence: Is There role for tongue-lip adhesion?. Cleft Palate – Craniofacial Journal, 40, 2003, s. 13-18.

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10. Scharff, A. S., Darrow, D. H.: Labioglossopexy and epiglotopexy. Operative Techniques in Otolaryngology, 16, 2005, s. 203-208,

11. Scott, A. R., Tibesar, R. J., Sidman, J. D.: Pierre Robin Sequence, evaluation, management, indication for surgery and pitfalls. Otolaryngol. Clin., 2012, s. 695-710.

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Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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