Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-28T14:17:06.962Z Has data issue: false hasContentIssue false

Treatment of Robin sequence with nasal CPAP

Published online by Cambridge University Press:  29 June 2007

Paul C. Deegan
Affiliation:
Department of Respiratory Medicineand the Respiratory Sleep Laboratory. University College and St Vincent's Hospital, Dublin, Ireland.
Brian McGlone
Affiliation:
Department of Respiratory Medicineand the Respiratory Sleep Laboratory. University College and St Vincent's Hospital, Dublin, Ireland.
Walter T. McNicholas*
Affiliation:
Department of Respiratory Medicineand the Respiratory Sleep Laboratory. University College and St Vincent's Hospital, Dublin, Ireland.
*
Address for correspondences: Dr Walter McNicholas, Department of Respiratory Medicine, St Vincent's Hospital, Elm Park, Dublin 4, Ireland. Fax: 353-1-2697949

Abstract

A 12-year-old schoolgirl presented with severe obstructive sleep apnoea due to the Robin sequence. The sleep apnoea, together with the associated findings of daytime sleepiness, nocturia, right heart strain and growth retardation, were successfully reversed by nasal CPAP therapy. This therapy allows postponement of a decision concerning corrective surgery until after full growth has occurred.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Guilleminault, GKorobkin, R., Winkle, R. (1981) A review of 50 children with obstructive sleep apnea syndrome. Lung 159: 275287.CrossRefGoogle ScholarPubMed
Jackson, P., Whitaker, L. A., Randall, P. (1976) Airway hazards associated with pharyngeal flaps in patients who have the Pierre Robin syndrome. Plastic and Reconstructive Surgery 58: 184186.CrossRefGoogle ScholarPubMed
Potsic, W. P. (1989) Sleep apnea in children. Otolaryngologic Clinics of North America 22: 537544.CrossRefGoogle ScholarPubMed
Ryan, C. F., Lowe, A. A., Fleetham, J. A. (1990) Nasal continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea in Hallermann-Streiff syndrome. Clinical Pediatrics 29: 122124.Google ScholarPubMed
Sadewitz, V. L. (1992) Robin sequence: changes in thinking leading to changes in patient care. Cleft Palate-Craniofacial Journal 29: 246253.CrossRefGoogle ScholarPubMed
Sher, A. E. (1992) Mechanisms of airway obstruction in Robin sequence: implications for treatment. Cleft Palate-Craniofacial Journal 29: 224231.CrossRefGoogle ScholarPubMed
Spier, S., Rivlin, J., Rowe, R. D., Egan, T. (1986) Sleep in Pierre Robin syndrome. Chest 90: 711715.Google ScholarPubMed
Sullivan, C. E., Issa, F., Berthon-Jones, M., Eves, L. (1981) Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. Lancet i: 862865.CrossRefGoogle Scholar