Pierre Robin and breathing: What to do and when?
Pierre Robin sequence
obstructive sleep apnea syndrome
upper airway obstruction
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
revised:
06
02
2021
received:
21
12
2020
accepted:
09
02
2021
pubmed:
14
2
2021
medline:
14
7
2022
entrez:
13
2
2021
Statut:
ppublish
Résumé
Robin sequence is characterized by mandibular retrognathia, airway obstruction, and glossoptosis; 80%-90% also have a cleft palate. Various treatment approaches exist, and although controlled studies are rare, objective assessment of treatment outcomes that address the leading clinical issues, namely obstructive sleep apnea and failure to thrive, are essential. Sleep-disordered breathing may be detected using cardiorespiratory polygraphy or polysomnography. Pulse oximetry alone may miss infants with frequent obstructive apneas, yet no intermittent hypoxia. Among conservative treatment options, the Tubingen Palatal Plate with a velar extension shifting the tongue base forward is the only approach that corrects the underlying anatomy and that has undergone appropriate evaluation. Of the surgical treatment options, which are not necessarily the first line of therapy, mandibular distraction osteogenesis (MDO) is effective and has been most extensively adopted. Notwithstanding, it is puzzling that MDO is frequently used in some countries, yet hardly ever in others, despite similar tracheostomy rates. Thus, prospective multicenter studies with side-by-side comparisons aimed at identifying an optimal treatment paradigm for this potentially life-threatening condition are urgently needed.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1887-1896Informations de copyright
© 2021 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC.
Références
Kaditis AG, Alonso Alvarez ML, Boudewyns A, et al. ERS statement on obstructive sleep disordered breathing in 1-to 23-month-old children. Eur Respir J. 2017;50:1591-1598.
Maas C, Poets CF. Initial treatment and early weight gain of children with Robin Sequence in Germany: a prospective epidemiological study. Arch Dis Child Fetal Neonatal Ed. 2014;99:F491-F494.
Poets CF, Roberts RS, Schmidt B, et al. Association between intermittent hypoxemia or bradycardia and late death or disability in extremely preterm infants. JAMA. 2015;314:595-603.
Brockmann PE, Schaefer C, Poets A, Poets CF, Urschitz MS. Diagnosis of obstructive sleep apnea in children: a systematic review. Sleep Med Rev. 2013;17:331-340.
Kirk V, Baughn J, D'Andrea L, et al. American Academy of Sleep Medicine position paper for the use of a home sleep apnea test for the diagnosis of OSA in children. J Clin Sleep Med. 2017;13:1199-1203.
Brockmann PE, Poets A, Poets CF. Reference values for respiratory events in overnight polygraphy from infants aged 1 and 3 months. Sleep Med. 2013;14:1323-1327.
Azarbarzin A, Sands SA, White DP, Redline S, Wellman A. The hypoxic burden: a novel sleep apnoea severity metric and a predictor of cardiovascular mortality-Reply to 'The hypoxic burden: also known as the desaturation severity parameter'. Eur Heart J. 2019;40:2994-2995.
Martín-Montero A, Gutiérrez-Tobal GC, Kheirandish-Gozal L, et al. Heart rate variability spectrum characteristics in children with sleep apnea. Pediatr Res. 2020.
Drescher FD, Jotzo M, Goelz R, Meyer TD, Bacher M, Poets CF. Cognitive and psychosocial development of children with Pierre Robin sequence. Acta Paediatr. 2008;97:653-656.
Evans AK, Rahbar R, Rogers GF, Mulliken JB, Volk MS. Robin sequence: a retrospective review of 115 patients. Int J Pediatr Otorhinolaryngol. 2006;70:973-980.
Kapp-Simon KA, Krueckeberg S. Mental development in infants with cleft lip and/or palate. Cleft Palate Craniofac J. 2000;37:65-70.
Alencar TRR, Marques IL, Bertucci A, Prado-Oliveira R. Neurological development of children with isolated Robin sequence treated with nasopharyngeal intubation in early infancy. Cleft Palate Craniofac J. 2017;54:256-261.
Thouvenin B, Djadi-Prat J, Chalouhi C, et al. Developmental outcome in Pierre Robin sequence: a longitudinal and prospective study of a consecutive series of severe phenotypes. Am J Med Genet A. 2013;161A:312-319.
Marques IL, Bettiol H, de Souza L, Barbieri MA, Bachega MI. Longitudinal study of the growth of infants with isolated Robin sequence considered being severe cases. Acta Paediatr. 2008;97:371-375.
Cozzi F, Totonelli G, Frediani S, Zani A, Spagnol L, Cozzi DA. The effect of glossopexy on weight velocity in infants with Pierre Robin syndrome. J Pediatr Surg. 2008;43:296-298.
Hsu CT, Chen CH, Lin MC, Wang TM, Hsu YC. Post-discharge body weight and neurodevelopmental outcomes among very low birth weight infants in Taiwan: a nationwide cohort study. PLoS One. 2018;13:13.
Robin P. Glossoptosis due to atresia and hypotrophy of the mandible. Am J Dis Child. 1934;48:541-547.
Caouette-Laberge L, Bayet B, Larocque Y. The Pierre Robin sequence: review of 125 cases and evolution of treatment modalities. Plast Reconstr Surg. 1994;93:934-942.
Kirschner RE, Low DW, Randall P, et al. Surgical airway management in Pierre Robin sequence: is there a role for tongue-lip adhesion? Cleft Palate Craniofac J. 2003;40:13-18.
van Lieshout MJS, Joosten KFM, Mathijssen IMJ, et al. Robin sequence: a European survey on current practice patterns. J Craniomaxillofac Surg. 2015;43:1626-1631.
Coutier L, Guyon A, Reix P, Franco P. Impact of prone positioning in infants with Pierre Robin sequence: a polysomnography study. Sleep Med. 2019;54:257-261.
Greenlee CJ, Scholes MA, Gao DX, Friedman NR. Obstructive sleep apnea and sleep position: does it matter for infants with a cleft palate? Cleft Palate-Cran J. 2019;56:890-895.
Carpenter R, Irgens L, Blair P, et al. Sudden unexplained infant death in 20 regions in Europe: case control study. Lancet. 2004;363:185-191.
Heaf DP, Helms PJ, Dinwiddie R, Matthew DJ. Nasopharyngeal airways in Pierre Robin syndrome. J Pediatr. 1982;100:698-703.
Masters IB, Chang AB, Harris MO, Neil MC. Modified nasopharyngeal tube for upper airway obstruction. Arch Dis Child. 1999;80:186-187.
Wagener S, Rayatt SS, Tatman AJ, Gornall P, Slator R. Management of infants with Pierre Robin sequence. Cleft Palate Craniofac J. 2003;40:180-185.
Chang AB, Masters IB, Williams GR, Harris M, O'Neill MC. A modified nasopharyngeal tube to relieve high upper airway obstruction. Pediatr Pulmonol. 2000;29:299-306.
Abel F, Bajaj Y, Wyatt M, Wallis C. The successful use of the nasopharyngeal airway in Pierre Robin sequence: an 11-year experience. Arch Dis Child. 2012.
Hicks KE, Billings KR, Purnell CA, et al. Algorithm for airway management in patients with Pierre Robin sequence. J Craniofac Surg. 2018;29:1187-1192.
Essouri S, Nicot F, Clément A, et al. Noninvasive positive pressure ventilation in infants with upper airway obstruction: comparison of continuous and bilevel positive pressure. Intensive Care Med. 2005;31:574-580.
Leboulanger N, Picard A, Soupre V, et al. Physiologic and clinical benefits of noninvasive ventilation in infants with Pierre Robin sequence. Pediatrics. 2010;126:e1056-e1063.
Amaddeo A, Abadie V, Chalouhi C, et al. Continuous positive airway pressure for upper airway obstruction in infants with Pierre Robin sequence. Plast Reconstr Surg. 2016;137:609-612.
Li KK, Riley RW, Guilleminault C. An unreported risk in the use of home nasal continuous positive airway pressure and home nasal ventilation in children: mid-face hypoplasia. Chest. 2000;117:916-918.
Suri S, Ross RB, Tompson BD. Craniofacial morphology and adolescent facial growth in Pierre Robin sequence. Am J Orthod Dentofacial Orthop. 2010;137:763-774.
Buchenau W, Urschitz MS, Sautermeister J, et al. A randomized clinical trial of a new orthodontic appliance to improve upper airway obstruction in infants with Pierre Robin sequence. J Pediatr. 2007;151:145-149.
Bacher M, Sautermeister J, Urschitz MS, Buchenau W, Arand J, Poets CF. An oral appliance with velar extension for treatment of obstructive sleep apnea in infants with pierre robin sequence. Cleft Palate Craniofac J. 2011;48:331-336.
Geddes DT, Kent JC, Mitoulas LR, Hartmann PE. Tongue movement and intra-oral vacuum in breastfeeding infants. Early Hum Dev. 2008;84:471-477.
Buchenau W, Wenzel S, Bacher M, Muller-Hagedorn S, Arand J, Poets CF. Functional treatment of airway obstruction and feeding problems in infants with Robin sequence. Arch Dis Child Fetal Neonatal Ed. 2017;102:F142-F146.
Muller-Hagedorn S, Buchenau W, Arand J, Bacher M, Poets CF. Treatment of infants with Syndromic Robin sequence with modified palatal plates: a minimally invasive treatment option. Head Face Med. 2017;13:4.
Haven I, Mulder JW, Wal KG, Hage JJ, de Lange-de Klerk ES, Haumann TJ. The jaw index: new guide defining micrognathia in newborns. Cleft Palate Craniofac J. 1997;34:240-241.
Wiechers C, Buchenau W, Arand J, et al. Mandibular growth in infants with Robin sequence treated with the Tubingen palatal plate. Head Face Med. 2019;15:17.
Kochel J, Meyer-Marcotty P, Wirbelauer J, et al. Treatment modalities of infants with upper airway obstruction - review of the literature and presentation of novel orthopedic appliances. Cleft Palate Craniofac J. 2010.
Schmidt G, Hirschfelder A, Heiland M, Matuschek C. Customized pre-epiglottic baton plate - a practical guide for successful, patient-spcific, noninvasive treatment of neonates with Robin sequence. Cleft Palate Craniofac J. 2020:1-7.
Ho AC, Wong RW, Cheung T, Ng DK, Siu KK, Fung SC. Orthodontic plate for management of obstructive sleep apnoea in infants with Pierre Robin sequence: experience and protocol in Hong Kong. J Orthod. 2019;46:367-373.
Poets CF, Maas C, Buchenau W, et al. Multicenter study on the effectiveness of the pre-epiglottic baton plate for airway obstruction and feeding problems in Robin sequence. Orphanet J Rare Dis. 2017;12:46.
Xepapadeas AB, Weise C, Frank K, et al. Technical note on introducing a digital workflow for newborns with craniofacial anomalies based on intraoral scans - part II: 3D printed Tubingen palatal plate prototype for newborns with Robin sequence. BMC Oral Health. 2020;20:171.
Poets CF, Koos B, Reinert S, Wiechers C. The Tubingen palatal plate approach to Robin sequence: summary of current evidence. J Craniomaxillofac Surg. 2019;47:1699-1705.
Shukowsky WP. Zur Ätiologie des Stridor inspiratorius congenitus. Jahrb Kinderheilk. 1911;73:459-474.
Douglas B. The treatment of micrognathia associated with obstruction by a plastic procedure. Plast Reconstr Surg. 1946;1946(1):300-308.
Resnick CM, Calabrese CE, Sahdev R, Padwa BL. Is tongue-lip adhesion or mandibular distraction more effective in relieving obstructive apnea in infants with Robin sequence? J Oral Maxillofac Surg. 2019;77:591-600.
Flores RL, Tholpady SS, Sati S, et al. The surgical correction of Pierre Robin sequence: mandibular distraction osteogenesis versus tongue-lip adhesion. Plast Reconstr Surg. 2014;133:1433-1439.
Denny AD, Amm CA, Schaefer RB. Outcomes of tongue-lip adhesion for neonatal respiratory distress caused by Pierre Robin sequence. J Craniofac Surg. 2004;15:819-823.
Bijnen CL, Don Griot PJ, Mulder WJ, Haumann TJ, Van Hagen AJ. Tongue-lip adhesion in the treatment of Pierre Robin sequence. J Craniofac Surg. 2009;20:315-320.
Sadakah AA, Elshall MA, Farhat AA. Bilateral intra-oral distraction osteogenesis for the management of severe congenital mandibular hypoplasia in early childhood. J Craniomaxillofac Surg. 2009;37:216-224.
Tibesar RJ, Scott AR, McNamara C, Sampson D, Lander TA, Sidman JD. Distraction osteogenesis of the mandible for airway obstruction in children: long-term results. Otolaryngol Head Neck Surg. 2010;143:90-96.
Burstein FD, Williams JK. Mandibular distraction osteogenesis in Pierre Robin sequence: application of a new internal single-stage resorbable device. Plast Reconstr Surg. 2005;115:61-67.
Spring MA, Mount DL. Pediatric feeding disorder and growth decline following mandibular distraction osteogenesis. Plast Reconstr Surg. 2006;118:476-482.
Pinheiro Neto CD, Alonso N, Sennes LU, Goldenberg DC, Santoro Pde P. Polysomnography evaluation and swallowing endoscopy of patients with Pierre Robin sequence. Braz J Otorhinolaryngol. 2009;75:852-856.
Looby JF, Schendel SA, Lorenz HP, Hopkins EM, Aizenbud D. Airway analysis: with bilateral distraction of the infant mandible. J Craniofac Surg. 2009;20:1341-1346.
Luo D, Chen Y, Wang H, et al. The effect of mandibular distraction osteogenesis on weight velocity in infants with severe Pierre Robin syndrome. J Craniofacial Surg. 2018;29:1851-1854.
Li L, Scott AR. Weight gain in infants with Pierre Robin sequence in the first year of life. Otolaryngol Head Neck Surg. 2020;163:1032-1037.
Gary CS, Marczewski S, Vitagliano PM, Sawh-Martinez R, Wu R, Steinbacher DM. A Quantitative analysis of weight gain following mandibular distraction osteogenesis in Robin sequence. J Craniofac Surg. 2018;29:676-682.
Monasterio FO, Drucker M, Molina F, Ysunza A. Distraction osteogenesis in Pierre Robin sequence and related respiratory problems in children. J Craniofac Surg. 2002;13:79-83.
Dauria D, Marsh JL. Mandibular distraction osteogenesis for Pierre Robin sequence: what percentage of neonates need it? J Craniofac Surg. 2008;19:1237-1243.
Hammoudeh J, Bindingnavele V, Davis B, et al. Neonatal and infant mandibular distraction as an alternative to tracheostomy in severe obstructive sleep apnea. Cleft Palate Craniofac J. 2010.
Denny AD. Distraction osteogenesis in Pierre Robin neonates with airway obstruction. Clin Plast Surg. 2004;31:221-229.
Miller JJ, Kahn D, Lorenz HP, Schendel SA. Infant mandibular distraction with an internal curvilinear device. J Craniofac Surg. 2007;18:1403-1407.
Sahoo NK, Roy ID, Dalal S, Bhandari A. Distraction osteogenesis for management of severe OSA in Pierre Robin sequence: an approach to elude tracheostomy in infants. J Maxillofac Oral Surg. 2016;15:501-505.
Zhang RS, Hoppe IC, Taylor JA, Bartlett SP. Surgical management and outcomes of Pierre Robin sequence: a comparison of mandibular distraction osteogenesis and tongue-lip adhesion. Plast Reconstr Surg. 2018;142:480-509.
Grayson BH, McCormick S, Santiago PE, McCarthy JG. Vector of device placement and trajectory of mandibular distraction. J Craniofac Surg. 1997;8:473-480.
Breik O, Tivey D, Umapathysivam K, Anderson P. Does the rate of distraction or type of distractor affect the outcome of mandibular distraction in children with micrognathia? J Oral Maxillofac Surg. 2016;74:1441-1453.
Murage KP, Costa MA, Friel MT, Havlik RJ, Tholpady SS, Flores RL. Complications associated with neonatal mandibular distraction osteogenesis in the treatment of Robin sequence. J Craniofac Surg. 2014;25:383-387.
Ow A, Cheung LK. Skeletal stability and complications of bilateral sagittal split osteotomies and mandibular distraction osteogenesis: an evidence-based review. J Oral Maxillofac Surg. 2009;67:2344-2353.
Callister AC. Hypoplasia of the mandible (mikrognathy) with cleft palate: treatment in early infancy by skeletal traction. Am J Dis Child. 1937;53:1057-1059.
Schettler D, Koch H. Growing jaw during and after orthopedic-surgical extension in children with congenital microgenia. Fortschr Kiefer Gesichtschir. 1974;18:166-169.