2016, Number 5
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Rev Méd Electrón 2016; 38 (5)
Rutledge’s lip-glossopexy in a patient with Robin sequence. Case report
Del Busto GCM, Santana González-Chávez A, Calvo PD, Peñate SCO, López TO, Valhuerdi PC
Language: Spanish
References: 34
Page: 711-718
PDF size: 299.75 Kb.
ABSTRACT
The Robin sequence, previously known as Pierre Robin syndrome, is charaterized by
the presence of micrognathia or retrognathia, glossoptosis with or without cleft
palate. The newborns with this syndrome may present airway obstruction, feeding
difficulties, growth retardation and chronic hypoxemia. Half of these patients
have associated malformations. The incidence is almost 1: 8 500. The current
options for the treatment of the airway obstruction in these patients range from
prone position, nasofaringeal intubation, glossopexy with lip adhesion, mandibular
distraction up to tracheostomy. We presented a variant of emergency surgical
treatment carried out in a newborn having a Robin sequence with respiratory
difficulty. A Routledge´s lip-glossopexy was made. The patient had a favorable
post-surgery evolution in his ventilation and feeding.
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