National Journal of Maxillofacial Surgery

CASE REPORT
Year
: 2020  |  Volume : 11  |  Issue : 1  |  Page : 124--126

Tongue–lip adhesion in Pierre-Robin sequence: Role redefined


Veena Singh1, Chandni Sinha2, Nishant Sahay2, Ansarul Haq1, Sarsij Sharma1, Shilpa Payal1 
1 Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
2 Department of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, India

Correspondence Address:
Dr. Veena Singh
Maurya Vihar Colony, Near BMP-16, Khagaul, Patna - 801 105, Bihar
India

The triad of retrognathia, glossoptosis, and airway obstruction characterizes the Robin sequence along with the detrimental effects of mandibular hypoplasia on feeding, swallowing, and growth, which are very well described. Most of the babies are managed successfully on nonsurgical measures, but selected patients require surgical intervention in the neonatal period for survival. Conventionally, tracheostomy was done, which still remains a first-line surgical procedure for some surgeons. However, presently, most of the craniofacial centers have switched over to mandibular distraction procedures at an early stage and only sometimes tongue–lip adhesion (TLA). The literature is unclear as to which surgical procedure for securing the airway is more effective for these patients, and hence, the choice of procedure depends on the resources and surgical expertise. This article tells the tale of a neonate who survived by just placing a simple U-stitch between the tongue and lip, retracting the tongue outside, which is the basic concept of all TLA procedures. It also reemphasizes the importance of TLA in Robin patients to improve the airway obstruction and helps buy the time in which the mandible and associated structures grow.


How to cite this article:
Singh V, Sinha C, Sahay N, Haq A, Sharma S, Payal S. Tongue–lip adhesion in Pierre-Robin sequence: Role redefined.Natl J Maxillofac Surg 2020;11:124-126


How to cite this URL:
Singh V, Sinha C, Sahay N, Haq A, Sharma S, Payal S. Tongue–lip adhesion in Pierre-Robin sequence: Role redefined. Natl J Maxillofac Surg [serial online] 2020 [cited 2020 Sep 25 ];11:124-126
Available from: http://www.njms.in/article.asp?issn=0975-5950;year=2020;volume=11;issue=1;spage=124;epage=126;aulast=Singh;type=0