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http://dx.doi.org/10.12655/KADH.2019.15.1.55

DENTAL TREATMENT OF A PATIENT WITH PIERRE ROBIN SEQUENCE UNDER GENERAL ANESTHESIA: A CASE REPORT  

Rhee, Sophia (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Song, Ji Soo (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Shin, Teo Jeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Young-Jae (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Jung-Wook (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Jang, Ki-Taeg (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Lee, Sang-Hoon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Hyun, Hong-Keun (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Publication Information
The Journal of Korea Assosiation for Disability and Oral Health / v.15, no.1, 2019 , pp. 55-59 More about this Journal
Abstract
Pierre Robin sequence(PRS) is characterized by a triad of clinical signs: micrognathia, glossoptosis and cleft palate. These anatomical deformities of PRS predispose patients to respiratory problems and feeding difficulties at birth. Maintaining oral hygiene and enduring dental treatment are complicated by their general conditions of PRS patients. We present a case of dental treatment of PRS patient under general anesthesia. A 3-year-old boy with PRS visited Seoul National University Dental Hospital for caries treatment. Clinical and radiographic examinations revealed multiple carious lesions. Considering the patient's medical condition and compliance of treatment, dental treatment under general anesthesia was decided. Despite expected challenges of managing the airway of the patient, intubation was performed successfully. The patient was treated with pulp treatments and restorations using composite resin and stainless steel crowns. No complications were observed during and after the procedure.
Keywords
Pierre Robin sequence; Dental treatment; General anesthesia;
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1 Giudice A, Barone S, Picard A, et al. : Pierre Robin Sequence: A comprehensive narrative review of the literature over time. J Stomatol Oral Maxillofac Surg, 119:419-428, 2018.   DOI
2 Gangopadhyay N, Mendonca DA, Woo AS : Pierre robin sequence. Semin Plast Surg, 26:76-82, 2012.   DOI
3 Evans AK, Rahbar R, Volk MS, et al. : Robin sequence: a retrospective review of 115 patients. Int J Pediatr Otorhinolaryngol, 70:973-980, 2006.   DOI
4 Cote A, Fanous A, Almajed A, Lacroix Y : Pierre Robin sequence: review of diagnostic and treatment challenges. Int J Pediatr Otorhinolaryngol, 79:451-464, 2015.   DOI
5 van den Elzen AP, Semmerkrot BA, Marres HA, et al. : Diagnosis and treatment of the Pierre Robin sequence: results of a retrospective clinical study and review of the literature. Eur J Pediatr, 160:47-53, 2001.   DOI
6 Amarillo IE, Dipple KM, Quintero-Rivera F : Familial microdeletion of 17q24.3 upstream of SOX9 is associated with isolated Pierre Robin sequence due to position effect. Am J Med Genet A, 161:1167-1172, 2013.   DOI
7 Poets CF, Bacher M : Treatment of upper airway obstruction and feeding problems in Robin-like phenotype. J Pediatr, 159:887-892, 2011.   DOI
8 Meyer AC, Lidsky ME, Sidman JD, et al. : Airway interventions in children with Pierre Robin Sequence. Otolaryngol Head Neck Surg, 138:782-787, 2008.   DOI
9 Douglas B : The treatment of micrognathia associated with obstruction by a plastic procedure. Plast Reconstr Surg, 1:300-308, 1946.   DOI
10 Papoff P, Guelfi G, Cascone P, et al. : Outcomes after tongue-lip adhesion or mandibular distraction osteogenesis in infants with Pierre Robin sequence and severe airway obstruction. Int J Oral Maxillofac Surg, 42:1418-1423, 2013.   DOI
11 Denny A, Amm C : New technique for airway correction in neonates with severe Pierre Robin sequence. J Pediatr, 147:97-101, 2005.   DOI
12 Marques IL, Peres SP, De Souza L, et al. : Growth of children with isolated Robin sequence treated by nasopharyngeal intubation: importance of a hypercaloric diet. Cleft Palate Craniofac J, 41:53-58, 2004.   DOI
13 Cladis F, Kumar A, Losee JE, et al. : Pierre Robin Sequence: a perioperative review. Anesth Analg, 119:400-412, 2014.   DOI
14 Monasterio FO, Molina F, Ysunza A, et al. : Swallowing disorders in Pierre Robin sequence: its correction by distraction. J Craniofac Surg, 15:934-941, 2004.   DOI
15 Cole A, Lynch P, Slator R : A new grading of Pierre Robin sequence. Cleft Palate Craniofac J, 45:603-606, 2008.   DOI