Modified palatoplasty for children of Pierre Robin sequence with cleft palate：clinical analysis of 12 consecutive cases

doi:10.19439/j.sjos.2019.02.019

Abstract

Abstract: PURPOSE: To explore a safe, effective and functional surgical treatment for children of Pierre Robin sequence (PRS) with cleft palate. METHODS: Twelve children of PRS with cleft palate underwent mandibular distraction osteogenesis before cleft palate surgery in order to correct severe hypoxia. A modified palatoplasty was then performed, the palatal flaps on both sides were not elevated in the anterior portions to prevent soft palate backward moving, and the levator veli palatini was repositioned simultaneously. RESULTS: All children achieved velopharyngeal closure without dyspnea after follow-up of 10-12 months. CONCLUSIONS: Measures should be taken to avoid backward movement of the soft palate, which may result in dyspnea of children with PRS in palatoplasty.

Key words: Pierre Robin sequence, Palate cleft, Micrognathia

CLC Number:

R782.2

CHEN Xiao-yang, GE Ting, FU Yu-chuan, CHEN Chuan-jun. Modified palatoplasty for children of Pierre Robin sequence with cleft palate：clinical analysis of 12 consecutive cases[J]. Shanghai Journal of Stomatology, 2019, 28(2): 201-203.

References

[1] Hardwicke JT, Richards H, Cafferky L, et al.Outcomes of cleft palate repair in patients with Pierre Robin sequence: A matched case-control study[J]. Plast Reconstr Surg, 2016, 137(3): 927-935.
[2] Côté A, Fanous A, Almajed A, et al.Pierre Robin sequence: review of diagnostic and treatment challenges[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(4): 451-464.
[3] Zhang RS, Hoppe IC, Taylor JA, et al.Surgical management and outcomes of Pierre Robin sequence: a comparison of mandibular distraction osteogenesis and tongue-lip adhesion[J]. Plast Reconstr Surg, 2018, 142(2): 480-509.
[4] 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]. J Craniofac Surg, 2018, 29(7): 1851-1854.
[5] 林石娣. 唇腭裂修复术患儿喂养方式探讨[J]. 现代中西医结合杂志, 2005, 14(10): 1347.
[6] 鲁勇, 石冰, 郑谦, 等. Sommerlad腭帆提肌重建术在不完全腭裂修复中的应用[J]. 临床口腔医学杂志, 2006, 22(4):233-236.
[7] Runyan CM, Uribe-Rivera A, Tork S, et al.Management of airway obstruction in infants with Pierre Robin sequence[J]. Plast Reconstr Surg Glob Open, 2018, 6(5): e1688.
[8] 李进让, 孙建军, 章榕, 等. TS90%评估阻塞性睡眠呼吸暂停低通气综合征低氧血症程度的临床价值[J]. 中华医学杂志, 2005, 85(44): 3115-3116.
[9] 肖寅, 郑谦. 腭裂整复术中肌肉功能性重建的研究进展[J]. 国际口腔医学, 2016, 43(4): 482-485.
[10] 郭美玲, 王予江. 腭裂腭咽闭合的研究进展[J]. 国际口腔医学,2013, 40(2): 216-220.
[11] 石冰. 腭裂的个体化整复[J]. 国际口腔医学, 2015, 42(6): 621-623.
[12] 肖文林,袁聪,石冰,等. Sommerlad 腭帆提肌重建术后腭长度的变化[J]. 上海口腔医学, 2014, 23(6): 718-721.
[13] 邓力, 阿地力·莫明, 王玲. 先天性腭裂序列治疗的研究进展[J]. 口腔医学, 2011, 31(12): 753-756.
[14] 袁华, 肖庆昌, 吴小珍, 等. 先天性腭裂手术时机选择的临床研究[J].中国美容医学, 2006, 15(12): 1386-1388.
[15] 邱蔚六, 张震康, 张志愿, 等. 唇腭裂的临床治疗 [C]//口腔颌面外科学 [M].北京: 人民卫生出版社, 2008: 378-379.
[16] 彭兆伟, 马莲, 贾绮林, 等. 腭裂手术年龄对腭咽闭合功能影响的研究[J]. 现代口腔医学杂志, 2008, 22(3): 225-228.