[Conservative orthodontic primary care of four newborns with the Pierre-Robin sequence triad].
Newborns with Pierre-Robin sequence often suffer from serious or even life-threatening obstructions in the respiratory tract resulting from anatomic malformations (micrognathia, glossoptosis and potentially a median cleft palate). Such babies require immediate effective therapeutic measures. Our case descriptions of four babies with the typical triad illustrate the application of a modified upper plate with an individually-adjustable pharyngeal spur. Precise and individually-modifiable adaptation of the plate's pharyngeal parts--depending on the developmental stage--permit the narrow airway to be opened, which then affects the tongue's position and the sagittal position of the mandible.
Ludwig
Björn
B
Department of Orthodontics, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. Kfoludwig@aol.com
Glasl
Bettina
B
Sader
Robert
R
Schopf
Peter
P
D000402:Airway Obstruction / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D009967:Orthodontic Appliances; D010158:Palatal Obturators; D010855:Pierre Robin Syndrome / Q000150:complications* / Q000534:rehabilitation*; D011320:Primary Health Care / Q000379:methods; D016896:Treatment Outcome