title: [Neonatal treatment of stage 3 Pierre Robin sequence by mean of a naso-pharyngeal tube].
abstract: BACKGROUND
  In the stage 3 Pierre Robin sequence, glossoptosis is responsible for pharyngeal obstruction and for respiratory and eating disorders. An alternative to labioglossopexie, tracheotomy or mandibular distraction is the placing of a nasal pharyngeal tube in order to lift the lingual obstacle.
  
  
  METHODS
  In our series of 15 new born with a stage 3 Pierre-Robin sequence, the nasal pharyngeal tube was positioned a few days after birth.
  
  
  RESULTS
  Ventilation and oxygen saturation were satisfactory. A lowering of hypercapnia and a rise of the weight curve were observed. The tube had to be maintained 64 days on average. No specific complication was noticed.
  
  
  CONCLUSIONS
  The nasal pharyngeal tube lifts the lingual obstacle, improves hypercapnia and allows for a weight gain. In case of glossoptosis, hypercapnia may be ignored or underestimated. Normal oxygen saturation may be falsely reassuring while severe hypercapnia is occurring. Attentive care and parental involvement are needed.
authors.affiliation: Centre de compétence des fentes labiales Médipôle Garonne, 54, allées des Demoiselles, 31400 Toulouse, France. Electronic address: dr.saboye@wanadoo.fr.
authors.forename: J
authors.initials: J
authors.lastname: Saboye
authors.affiliation: Centre de compétence des fentes labiales Médipôle Garonne, 54, allées des Demoiselles, 31400 Toulouse, France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Tournier
authors.affiliation: Centre de compétence des fentes labiales Médipôle Garonne, 54, allées des Demoiselles, 31400 Toulouse, France.
authors.forename: P
authors.initials: P
authors.lastname: Gerardin
authors.affiliation: Centre de compétence des fentes labiales Médipôle Garonne, 54, allées des Demoiselles, 31400 Toulouse, France.
authors.forename: M
authors.initials: M
authors.lastname: Elicegui
mesh_terms: D002972:Cleft Palate / Q000150:complications / Q000453:epidemiology / Q000601:surgery; D005602:France / Q000453:epidemiology; D057238:Growth Charts; D006801:Humans; D006935:Hypercapnia / Q000150:complications / Q000453:epidemiology / Q000628:therapy; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D009305:Nasopharynx; D010855:Pierre Robin Syndrome / Q000150:complications / Q000453:epidemiology / Q000628:therapy*; D012189:Retrospective Studies
keywords: Hypercapnia; Hypercapnie; Nasopharyngeal; Nasopharynx; Nursing; Pierre Robin’ sequence; Soins; Séquence de Pierre-Robin