Polysomnography evaluation and swallowing endoscopy of patients with Pierre Robin sequence.
The Pierre Robin sequence is characterized by micrognathia, glossoptosis and upper airway obstruction. Symptom severity varies, and this makes the treatment of these patients a true challenge.


OBJECTIVE
to identify the presence of sleep hypopnea-apnea in patients with Pierre-Robin sequence.


METHODS
retrospective study in which we assessed 14 children with Pierre-Robin sequence, eight girls. The children were submitted to swallowing video-endoscopy study and polysomnography.


RESULTS
eight patients were included in this study. Six had normal polysomnography and only one patient had mild central hypopnea-apnea. Swallowing video-endoscopy was normal in five patients and moderate dysphagia was detected in three patients, who were then submitted to gastrostomy. Mandible distraction was carried out in four patients who were also submitted to tracheostomy during the same procedure.


CONCLUSIONS
dysphagia was more prevalent than sleep apnea. Swallowing video-endoscopy proved to be a dynamic test and one able to detect feeding disorders in patients with Pierre Robin sequence.
Pinheiro Neto
Carlos Diógenes
CD
Skull-Maxillofacial Surgery and Skull Base Surgery, Department of Ophthalmology and Otorhinolaryngology of the University of Sao Paulo Medical School. carlosdiogenes@yahoo.com
Alonso
Nivaldo
N
Sennes
Luiz Ubirajara
LU
Goldenberg
Dov Charles
DC
Santoro
Patrícia de Paula
Pde P
D002648:Child; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology; D004724:Endoscopy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010855:Pierre Robin Syndrome / Q000150:complications*; D017286:Polysomnography; D012189:Retrospective Studies; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000209:etiology