A Successful Effort of Corrective Intervention in Deviated Growth by Nature Leading to Survival of an Infant by Pediatric Dental Professionals: A Case Report
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 9
Abstract
Introduction: Pierre Robin Sequence (PRS) is a congenital condition constituting of a classic triad of Micrognathia, Glossoptosis and Cleft palate. The primary defect lies in the arrested development of mandible leading to retro displacement of the tongue and reduction of oropharyngeal airway. In general, mishaps from PRS are due to the combined effects of poorly managed airway and obstructive apnoea. Approximately 3% of child patients with clefts of palate do not have multifactorial inheritance. Case report: This case report presents the sequence of treatment procedures followed to enable an infant with PRS to breathe freely without any artificial aid. Initially the infant was managed with Nasopharyngeal airway (for 10 days but patient suffered from aspiration pneumonia) after which Glossopexia was attempted (for the next 3 days, mild dehiscence observed) and finally Mandibular distraction was carried out using two parasymphysial orthodontic stainless steel wires (21 Gauge) under local anaesthesia (For 30 days, resulting in reduction in apnoeic attacks frequency, appreciable mandibular growth and above all, improved quality of life). Conclusion: Though this technique also has its merits and demerits but still it is promising with a success rate of more than 90% enough to replace tracheostomy which has a high morbidity rate.
Authors and Affiliations
Anita Chauhan, Amit Kishor, Rupesh Kumar Singh, Krishnapriya V, Shilpa G, Jay Kishore
Keywords
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