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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)1592-1594
Number of pages3
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume79
Issue number9
DOIs
StatePublished - 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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