دورية أكاديمية
Tongue Lip Adhesion in the Treatment of Robin Sequence: Respiratory, Feeding, and Surgical Outcomes.
| العنوان: | Tongue Lip Adhesion in the Treatment of Robin Sequence: Respiratory, Feeding, and Surgical Outcomes. |
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| المؤلفون: | Mermans JF; Department of Plastic-, Reconstructive, and Hand Surgery., Lissenberg-Witte BI; Department of Epidemiology and Biostatistics., Van Gogh CDL; Department of Otolaryngology and Head and Neck Surgery., Broers CJM; Department of Pediatrics., Van Hagen JM; Department of Clinical Genetics., Strijers RLM; Department of Clinical Neurophysiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Don Griot JPW; Department of Plastic-, Reconstructive, and Hand Surgery. |
| المصدر: | The Journal of craniofacial surgery [J Craniofac Surg] 2018 Nov; Vol. 29 (8), pp. 2327-2333. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9010410 Publication Model: Print Cited Medium: Internet ISSN: 1536-3732 (Electronic) Linking ISSN: 10492275 NLM ISO Abbreviation: J Craniofac Surg |
| أسماء مطبوعة: | Publication: <2014-> : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Burlington, Ont. : B.C. Decker, c1990- |
| مواضيع طبية MeSH: | Lip/*surgery , Pierre Robin Syndrome/*surgery , Tongue/*surgery, Female ; Humans ; Infant ; Infant, Newborn ; Length of Stay ; Male ; Polysomnography ; Retrospective Studies ; Tissue Adhesions ; Treatment Outcome |
| مستخلص: | Objective: Objective evaluation of the efficacy of tongue lip adhesion (TLA) in the management of Robin sequence (RS). Study Design: Retrospective cohort study. Setting: Tertiary referral hospital. Patients, Participants: The craniofacial database of Amsterdam UMC, Vrije Universiteit Amsterdam was searched to identify infants with RS who underwent tong lip adhesion (TLA). Forty-one RS infants who underwent TLA from 1993 to 2016 were identified. Interventions: TLA. Main Outcome Measure: The outcome measures were pre- and postoperative polysomnography results, nutritional status, weight gain, age at operation, hospital stay length, extubation time after TLA, and complications. Results: Forty-one RS patients were included who had TLA at an average age of 26.6 days. In 16 cases a pre- and postoperative polysomnography was performed. In 13 of these cases (81.3%) improvement was observed, in 2 (12.5%) the results were inconclusive, and in 1 (6.3%) no improvement was seen. Patients were extubated after a mean of 2.2 days.The mean hospital stay was 40.2 days. Reintervention was needed in 7 patients because of a wound dehiscence. The mean age of TLA release was 9.7 months. At discharge, 9 (22%) children still needed total nutritional support for persistent feeding difficulties. The average growth from birth to adhesion release was 4.6 kg. Conclusion: This cohort demonstrates that TLA is a successful procedure in children with RS in terms of respiratory, feeding, and growth outcome. Only minor complications were seen in our cohort. |
| تواريخ الأحداث: | Date Created: 20181020 Date Completed: 20190124 Latest Revision: 20190124 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1097/SCS.0000000000004975 |
| PMID: | 30339599 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1536-3732 |
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| DOI: | 10.1097/SCS.0000000000004975 |