Orthodontic plate for management of obstructive sleep apnoea in infants with Pierre Robin sequence: experience and protocol in Hong Kong
| Autor: | Ricky Wk Wong, Daniel K Ng, Tania Cheung, S C Fung, Angus C.H Ho, K K Siu |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Polysomnography Population Orthodontics 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Medicine Humans education Retrospective Studies education.field_of_study Robin Sequence Sleep Apnea Obstructive Pierre Robin Syndrome business.industry Southern chinese Infant 030206 dentistry Airway obstruction medicine.disease Airway Obstruction Hong Kong Female Sleep (system call) business |
| Zdroj: | Journal of orthodontics. 46(4) |
| ISSN: | 1465-3133 |
| Popis: | Objective: To present the application of the pre-epiglottic baton plate (PEBP) in infants with Pierre Robin sequence (PRS) in the Southern Chinese population (Hong Kong) and to present the diagnosis and management protocol of these infants in our centre. Design: Retrospective case series of three patients with PRS. Setting: Neonatal Intensive Care Unit in Kwong Wah Hospital and Craniofacial Orthodontic Centre in United Christian Hospital, Hong Kong. Participants: Three new-born infants (two girls, one boy) with PRS and upper airway obstruction due to glossoptosis. Methods: A protocol for the diagnosis and management of these infants in the Southern Chinese population (Hong Kong) was presented. The three patients received nasal high-flow oxygen and/or continuous positive airway pressure (CPAP) as first-line respiratory support, followed by PEBP for 3–5 months. A two-stage approach was undertaken to ensure accurate positioning of the PEBP. Results: All three infants had improvement in clinical signs, symptoms and polysomnography upon discharge. PEBP and other respiratory aids were weaned off at 3–6 months. Conclusions: The PEBP, combined with other respiratory support, is a useful modality in the treatment of obstructive sleep apnoea in infants with PRS. |
| Databáze: | OpenAIRE |
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