Didem ALİEFENDİOĞLU, Nilüfer GÜZOĞLU, Mehmet KATIRCIOĞLU

Damak Plağı ile Beslenme ve Solunumu Düzelen Pierre Robin Sendromlu Bir Olgu

Pierre Robin Sendromu (PRS) 1902 yılında tanımlanmış olup damak yarığı, mandibuler retrognati ve/veya mikrognati ve glossopitozis şeklinde üç komponentten oluşmaktadır. Asfiksiye bağlı mortalite oranının % 30 olarak belirlendiği sendromda bir diğer problem de beslenme bozukluğudur. Bu nedenle hayatın ilk günlerinde beslenmenin ve solunumun rahat bir şekilde gerçekleştirilmesini sağlamak amacıyla müdahale gerekebilir. PRS’lu olgularda, hava yolu açıklığını sağlamak için literatürde bildirilmiş olan pozisyon verme, nazofarengeal tüp kullanımı, entübasyon ve cerrahi tedavi gibi yaklaşımlar mevcuttur. Hayatın ilk günlerinde uygulanan bu yaklaşımlar bebek ve aile için travmatik olabilmektedir. Bu yazıda 1 günlük iken beslenememe ve solunum problemleri ile başvuran ve ortodontik aparey kullanımı ile sorunsuz olarak taburcu edilen PRS’lu bir olgu sunulmuştur.

Anahtar Kelimeler:

Beslenme problemleri, Ortodontik aparey, Pierre Robin sendromu

Improvement of Feeding and Respiration with a Palatine Plate in a Case of Pierre-Robin Syndrome

The Pierre-Robin Syndrome (PRS) has been defined in 1902 and consists of three components: cleft palate, mandibular retrognathia and/or micrognathia, and glossoptosis. The mortality rate due to asphyxia is 30% in the syndrome. Another common problem is malnutrition. Intervention may therefore be required to provide a comfortable route for feeding and breathing in the first days of life. Some previously reported approaches are positioning, nasopharyngeal tube usage, intubation and surgical treatment to provide airway patency. However these approaches may be traumatic for the baby and family in the early days of life. In this paper, a 1-day-old PRS case who presented with nutritional and respiratory problems and was later discharged without any problems by the use of an orthodontic palate plaque is presented

Keywords:

Feeding difficulties, Orthodontic appliances, Pierre Robin syndrome,

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