Article information
Resumo
Recém-nascidos com Sequência de Robin frequentemente apresentam sérias obstruções respiratórias que podem representar riscos à vida resultante de malformações anatómicas (micrognatia, glossoptose e potenciais fendas palatinas). Esses pacientes precisam de medidas terapêuticas imediatas e efectivas. Dessa forma, o objectivo desse trabalho foi fazer uma revisão de literatura sobre a etiopatogenia, principais características e as actuais formas de tratamento empregadas para os portadores dessas alterações estruturais.
Palavras-Chave:
Síndrome de Pierre Robin
Fissura Palatina
Obstrução Vias Respiratórias
Abstract
Newborns with Pierre-Robin sequence often suffer from serious or even life-threatening obstructions in the respiratory tract resulting from anatomic malformations (micrognathia, glossoptosis and potentially a median cleft palate). Such babies require immediate effective therapeutic measures. Based on these facts, the aim of this article was to make a review of the literature about the etiopathogenesis, clinical characteristics and the current treatments for theses structural alterations.
Key-words:
Pierre Robin Syndrome
Cleft Palate
Airway Obstruction
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Bibliografia
[1-]
R. Lannelongue, V. Menard.
Traite des Affections Congenitales.
Asselin et Houzeau, (1891),
[2-]
P. Robin.
Glossoptosis due to atresia and hypotrophy of the mandible.
Am J Dis Chilf, 48 (1934), pp. 541-547
[3-]
M.A. Elliott, D.A. Studen-Pavlovich, D.N. Ranalli.
Prevalence of selected pediatric conditions in children with Pierre Robin sequence.
Pediatr Dent, 17 (1995), pp. 106-111
[4-]
W. Cocke Jr..
Experimental production of micrognathia and glossoptosis associated with cleft palate (Pierre Robin syndrome).
Plast Reconstr Surg, 38 (1966), pp. 395-403
[5-]
D. Poswillo.
The aetiology and surgery of cleft palate with micrognathia.
Ann R Coll Surg Engl, 43 (1968), pp. 61-88
[6-]
D. Poswillo.
The aetiology and surgery of cleft palate with micrognathia.
Ann R Coll Surg Engl, 43 (1968), pp. 61-88
[7-]
R.A. Latham.
The pathogenesis of cleft palate associated with the Pierre Robin syndrome. An analysis of a seventeenweek human foetus.
Br J Plast Surg, 19 (1966), pp. 205-214
[8-]
R. Becker, D. Palm.
Zur kausalen und fonnalen genese des Pierre Robin syndroms.
Dtsch Zahnärzth Z, 21 (1966), pp. 1321-1338
[9-]
A. Rintala, R. Ranta, T. Stegars.
On the pathogenesis of cleft palate in the Pierre Robin syndrome.
Scand J Plast Reconstr Surg, 18 (1984), pp. 237-240
[10-]
J.R. Edwards, D.R. Newall.
The Pierre Robin syndrome reassessed in the light of recent research.
Br J Plast Surg, 38 (1985), pp. 339-342
[11-]
M.M. Cohen Jr..
The Child with Multiple Birth Defects.
Raven Press, (1982),
[12-]
M.M. Cohen Jr..
The Robin anomalad: its nonspecific, and associated syndromes.
J Oral Surg, 34 (1976), pp. 587-593
[13-]
M.B. Lewis, H.M. Pashayan.
Management of infants with Robin anomaly.
Clin Pediatr, 19 (1980), pp. 519-521
[14-]
D.W. Smith.
Classification, nomenclature and meaning of morphologic defects.
J Pediatr, 87 (1975), pp. 162
[15-]
R.J. Gorlin, M.M. Cohen, R.C.M. Hennekam.
Syndromes of the Head and Neck.
4ª, Oxford University Press, (2001),
[16-]
OMS.
Classificação Internacional das Doenças – CID 10.
1ª, Edusp, (1994),
[17-]
F.C. Fraser, D.G. Trasler, B.E. Walker, F.C. Fraser.
Congenital malformations produced by amniotic sac puncture.
Science, 124 (1956), pp. 439
[18-]
B.E. Walker.
Effects on palate development of mechanical interference with the fetal environment.
Science, 130 (1959), pp. 981
[19-]
J.W.S. Harris.
Oligohydramnios and costisone induced cleft palate.
Nature, 203 (1964), pp. 5334
[20-]
L.J. Sheffield, J.A. Reiss, Y. Strohm, M. Gildin.
A genetic follow up study of 64 patients with the Pierre Robin complex.
Am J Med Genet, 28 (1987), pp. 25-36
[21-]
D.B. Carroll, R.A. Peterson, E.W. Worton, L.M. Birnbaum.
Hereditary factor in the Pierre Robin syndrome.
Br J Plast Surg, 24 (1971), pp. 43-47
[23-]
J.L. Smith, F.R. Stowe.
The Pierre Robin syndrome: a review of 39 cases with mphasis on associated ocular lesions.
Pediatrics, 27 (1961), pp. 128-133
[24-]
P. Sachtleben.
Zur pathogenese und therapie des Pierre Robin syndrome.
Arch Kinderheilk, 171 (1964), pp. 55-63
[26-]
I.L. Marques, M.A. Barbieri, H. Bettiol.
Etiopathogenesis of isolated Robin sequence.
Cleft Palate Craniofac J, 35 (1998), pp. 517-525
[27-]
F. Vegter, J.J. Hage, J.W. Mulder.
Pierre Robin syndrome: mandibular growth during the first year of life.
Ann Plast Surg, 42 (1999), pp. 154-157
[28-]
P.M. Gruen, A. Carranza, C.S. Karmody, E. Bachor.
Anomalies of the ear in the Pierre Robin triad.
Ann Otol Rhinol Laryngol, 114 (2005), pp. 605-613
[29-]
I.L. Marques, T.V. Sousa, A.F. Carneiro, S.P.B. Peres, M.A. Barbieri, H. Bettiol.
Seqüência de Robin – Protocolo Único de Tratamento.
J Pediatr (Rio J), 81 (2005), pp. 4-22
[30-]
A.E. Sher.
Mechanisms of airway obstruction in Robin sequence: implications for treatment.
Cleft Palate Craniofac J, 29 (1992), pp. 224-231
[31-]
I.L. Marques, T.V. Sousa, A.F. Carneiro, M.A. Barbieri, H. Bettiol, M.R. Gutierrez.
Clinical experience with infants with Robin sequence: a prospective study.
Cleft Palate Craniofac J, 38 (2001), pp. 171-178
[32-]
M. Hamdi, J.P. Brutus, De Mey.
Clinical experience with Pierre Robin sequence.
Eur J Plast Surg, 26 (2004), pp. 401-405
[33-]
M.J. Cruz, J.E. Kerschner, D.J. Beste, S.F. Conley.
Pierre Robin sequences: secondary respiratory difficulties and intrinsic feeding abnormalities.
Laryngoscope, 109 (1999), pp. 1632-1636
[34-]
B. Douglas.
The treatment of micrognathia with obstruction by a plastic procedure.
Plast Reconstr Surg, 1 (1964), pp. 300-308
[35-]
R.V. Argamso.
Glossopexy for upper airway obstruction in Robin sequence.
Cleft Palate Craniofac J, 29 (1992), pp. 232-238
[36-]
L. Caouette-Laberge, B. Bayet, Y. Larocque.
The Pierre Robin sequence: review of 125 cases and evolution of treatment modalities.
Plast Reconstr Surg, 93 (1994), pp. 934-942
[37-]
L.T. Singer, C. Kercsmar, G. Legris, J.P. Orlowski, B.P. Hill, C. Doershuk.
Developmental sequelae of long-term infant tracheostomy.
Dev Med Child Neurol, 31 (1989), pp. 224-230
[38-]
B. Ludwig, B. Glasl, R. Sader, P. Schopf.
Conservative Orthodontic Primary Care of Four Newborn with Pierre-Robin Sequence Triad.
J Orofac Orthop, 68 (2007), pp. 56-61
[39-]
M.A. Salmon.
Developmental defects and syndromes.
HMM, (1978),
(Sato FRL, Setten KC, Sverzut AT, Moraes M, Moreira RWF. Sequência de Pierre Robin – Etiopatogenia, Características Clínicas e Formas de Tratamento. Rev Port Estomatol Cir Maxilofac 2007;48:161–166)
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