TY - JOUR
T1 - Neonatal outcomes of Pierre Robin sequence
T2 - An institutional experience
AU - Al-Samkari, Hanny T.
AU - Kane, Alex A.
AU - Molter, David W.
AU - Vachharajani, Akshaya
PY - 2010/12
Y1 - 2010/12
N2 - 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. Study Design: 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. Result: 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. Conclusion: 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.
AB - 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. Study Design: 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. Result: 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. Conclusion: 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.
KW - feeding
KW - length of stay
KW - mandibular distraction osteogenesis
UR - http://www.scopus.com/inward/record.url?scp=78650223435&partnerID=8YFLogxK
U2 - 10.1177/0009922810379040
DO - 10.1177/0009922810379040
M3 - Article
C2 - 20837617
AN - SCOPUS:78650223435
SN - 0009-9228
VL - 49
SP - 1117
EP - 1122
JO - Clinical Pediatrics
JF - Clinical Pediatrics
IS - 12
ER -