Tongue Lip Adhesion in the Treatment of Robin Sequence: Respiratory, Feeding, and Surgical Outcomes. Issue 8 (November 2018)

• Record Type: Journal Article
• Authors: Mermans, Joline F.; Lissenberg-Witte, Birgit I.; Van Gogh, Christine D.L.; Broers, Chantal J.M.; Van Hagen, Johanna M.; Strijers, Rob L.M.; Don Griot, Johan P.W.
• Is Part Of: Journal of craniofacial surgery. Volume 29:Issue 8(2018)
• Publication Date: 2018-11
• Subjects: Glossopexy -- Robin sequence (RS) -- tong lip adhesion (TLA); Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000004975
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Objective: Objective evaluation of the efficacy of tongue lip adhesion (TLA) in the management of Robin sequence (RS). Study Design: Retrospective cohort study. Setting: Tertiary referral hospital. Patients, Participants: The craniofacial database of Amsterdam UMC, Vrije Universiteit Amsterdam was searched to identify infants with RS who underwent tong lip adhesion (TLA). Forty-one RS infants who underwent TLA from 1993 to 2016 were identified. Interventions: TLA. Main Outcome Measure: The outcome measures were pre- and postoperative polysomnography results, nutritional status, weight gain, age at operation, hospital stay length, extubation time after TLA, and complications. Results: Forty-one RS patients were included who had TLA at an average age of 26.6 days. In 16 cases a pre- and postoperative polysomnography was performed. In 13 of these cases (81.3%) improvement was observed, in 2 (12.5%) the results were inconclusive, and in 1 (6.3%) no improvement was seen. Patients were extubated after a mean of 2.2 days. The mean hospital stay was 40.2 days. Reintervention was needed in 7 patients because of a wound dehiscence. The mean age of TLA release was 9.7 months. At discharge, 9 (22%) children still needed total nutritional support for persistent feeding difficulties. The average growth from birth to adhesion release was 4.6 kg. Conclusion: This cohort demonstrates that TLA is a successful procedure in children with RS in terms of respiratory, feeding, and growth outcome. Only minor complications were seen in our cohort.