Neonatal outcomes of Pierre Robin sequence: an institutional experience.
OBJECTIVE
The aim of this study was to characterize the outcomes of one institute's experience regarding upper airway and feeding management in Pierre Robin sequence (PRS) neonates.


METHODS
A retrospective review of 33 neonates was performed. Average daily weight gain for all patients and average length of stay for each group was calculated and the results were compared using Student's t test.


RESULTS
Average daily weight gain was 16.5 g in the mandibular distraction osteogenesis (MDO) group (MDO; N = 12) and 5.6 g in the nonsurgical intervention (NSI) group (N = 18; P = .043). Average length of stay was longer in the MDO group (P = .01). In all, 67% of MDO patients were discharged with total PO (per os) feeds compared with 22% of NSI patients.


CONCLUSIONS
Neonates with PRS who do not require surgical airway intervention are more likely to require assisted feeding, have slower weight gain, and a shorter average hospital stay compared to neonates undergoing mandibular MDO.
Al-Samkari
Hanny T
HT
Washington University in St Louis, St Louis, MO, USA.
Kane
Alex A
AA
Molter
David W
DW
Vachharajani
Akshaya
A
D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008334:Mandible / Q000002:abnormalities / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000009:adverse effects* / Q000379:methods; D010351:Patient Discharge / Q000706:statistics & numerical data*; D010855:Pierre Robin Syndrome / Q000601:surgery* / Q000628:therapy; D012189:Retrospective Studies; D016896:Treatment Outcome; D015430:Weight Gain