Airway obstruction after lingual frenulectomy in two infants with Pierre-Robin Sequence

Dane J. Genther; Margaret L. Skinner; Patti J. Bailey; Randolph B. Capone; Patrick J. Byrne

doi:10.1016/j.ijporl.2015.06.035

Airway obstruction after lingual frenulectomy in two infants with Pierre-Robin Sequence

Dane J. Genther, Margaret L. Skinner, Patti J. Bailey, Randolph B. Capone, Patrick J. Byrne

School of Medicine

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

Pierre-Robin Sequence (PRS) is defined as the triad of micrognathia, glossoptosis, and cleft palate and affects approximately 1/8500 births. Airway obstruction is common in infants with PRS and results from glossoptosis leading to pharyngeal obstruction. Any procedure that increases the severity of glossoptosis, such as lingual frenulectomy, may increase the risk of obstruction or aggravate existing obstruction. This report discusses two cases of significant airway decompensation after lingual frenulectomy requiring surgical intervention in infants with PRS. We suggest that lingual frenulectomy be contraindicated in infants with PRS or suspected PRS due to the possible increased risk of airway obstruction.

Original language	English (US)
Pages (from-to)	1592-1594
Number of pages	3
Journal	International Journal of Pediatric Otorhinolaryngology
Volume	79
Issue number	9
DOIs	https://doi.org/10.1016/j.ijporl.2015.06.035
State	Published - Sep 1 2015

Keywords

Airway obstruction
Cleft palate
Lingual frenulectomy
Pediatric otolaryngology
Pierre-Robin Sequence

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Otorhinolaryngology

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10.1016/j.ijporl.2015.06.035

Cite this

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title = "Airway obstruction after lingual frenulectomy in two infants with Pierre-Robin Sequence",

abstract = "Pierre-Robin Sequence (PRS) is defined as the triad of micrognathia, glossoptosis, and cleft palate and affects approximately 1/8500 births. Airway obstruction is common in infants with PRS and results from glossoptosis leading to pharyngeal obstruction. Any procedure that increases the severity of glossoptosis, such as lingual frenulectomy, may increase the risk of obstruction or aggravate existing obstruction. This report discusses two cases of significant airway decompensation after lingual frenulectomy requiring surgical intervention in infants with PRS. We suggest that lingual frenulectomy be contraindicated in infants with PRS or suspected PRS due to the possible increased risk of airway obstruction.",

keywords = "Airway obstruction, Cleft palate, Lingual frenulectomy, Pediatric otolaryngology, Pierre-Robin Sequence",

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AU - Genther, Dane J.

AU - Skinner, Margaret L.

AU - Bailey, Patti J.

AU - Capone, Randolph B.

AU - Byrne, Patrick J.

PY - 2015/9/1

Y1 - 2015/9/1

N2 - Pierre-Robin Sequence (PRS) is defined as the triad of micrognathia, glossoptosis, and cleft palate and affects approximately 1/8500 births. Airway obstruction is common in infants with PRS and results from glossoptosis leading to pharyngeal obstruction. Any procedure that increases the severity of glossoptosis, such as lingual frenulectomy, may increase the risk of obstruction or aggravate existing obstruction. This report discusses two cases of significant airway decompensation after lingual frenulectomy requiring surgical intervention in infants with PRS. We suggest that lingual frenulectomy be contraindicated in infants with PRS or suspected PRS due to the possible increased risk of airway obstruction.

AB - Pierre-Robin Sequence (PRS) is defined as the triad of micrognathia, glossoptosis, and cleft palate and affects approximately 1/8500 births. Airway obstruction is common in infants with PRS and results from glossoptosis leading to pharyngeal obstruction. Any procedure that increases the severity of glossoptosis, such as lingual frenulectomy, may increase the risk of obstruction or aggravate existing obstruction. This report discusses two cases of significant airway decompensation after lingual frenulectomy requiring surgical intervention in infants with PRS. We suggest that lingual frenulectomy be contraindicated in infants with PRS or suspected PRS due to the possible increased risk of airway obstruction.

KW - Airway obstruction

KW - Cleft palate

KW - Lingual frenulectomy

KW - Pediatric otolaryngology

KW - Pierre-Robin Sequence

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Airway obstruction after lingual frenulectomy in two infants with Pierre-Robin Sequence

Abstract

Keywords

ASJC Scopus subject areas

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