Acta Scientific MEDICAL SCIENCES (ISSN: 2582-0931)
Volume 7 Issue 12 December 2023
Neonatal Pierre Robin syndrome (Systematic Review)
Shimaa Hussein Kotb*
Assistant Lecturer, Oral Medicine, Periodontology Department at Sphinx University,
New Assuit, Egypt
*Corresponding Author: Shimaa Hussein Kotb, Assistant Lecturer, Oral Medicine,
Periodontology Department at Sphinx University, New Assuit, Egypt.
Research Article
Received: October 13, 2023
Published: November 20, 2023
© All rights are reserved by Shimaa Hussein
Kotb.
Abstract
The early hour life of newborn is an ambiguous and challenging period in human life which need careful and intelligent monitoring
to obtain better life outcomes. Pierre Robin Sequence one of the rare syndrome that is observed shortly after or before the birth. PRS
is a group of malformation in the baby that develop during pregnancy. It is called a casade because one of its definite features − an
undeveloped lower jaw − initiate a casade of other deformities while the baby is developing in uterus and can ultimately lead to post-
natal upper airway obstruction and life threatening condition that lead to eventual death.
Aim: The purpose of the study was to highlight the significance of three-dimensional ultrasound in the screening of fetal micrognathia
and highlight the diagnostic features of infant with Pierre Robin syndrome; to establish an early assessment approach for better
outcomes of infant life.
Methodology: A systematic literature review depends on collecting data from an evidence based studies. Searches were made of
twenty five electronic databases: the Cochrane Oral Health Group’s Trials Register, The Cochrane Central Register of Controlled Trials
(CENTRAL), EMBASE, PsycINFO, Scopus and Web of science, MEDLINE (PubMed).
Results: There is a strong association between breathing difficulty, feeding difficulty in infant and the small size of mandible which
affect on fetus shelf life.
Conclusion: PRS is a rare anomaly so raise the awareness to this syndrome should be increased between different physicians. Prenatal
diagnosis is very important step for appropriate treatment decision by parents before delivery and to arrange with a multidisplinary
team to assessment the condition postnatal to reduce the short and long term complications and treatments.
Keywords: Birth Defects; Pierre Robin Sequence; Micrognathia; Glossoptosis; Airway Obstruction; Obstructive Sleep Apnea; Feeding
Problems
Introduction
Pierre Robin Sequence (PRS) considered a nonspecific anomaly
characterized by a triad of micrognathia, glossoptosis, and airway
obstruction that may occur either isolated defect or as a broader
group of malformations. Infants often present at birth with a
hypoplastic mandible (which termed “mandibular hypotrophy”)
and glossoptosis (an aberrant tongue retraction), this condition of
the small mandible displaces the tongue posteriorly, resulting in
obstruction of the airway.
Mortality for infants with PRS ranges from 1.7% to 11.3%;
the rate increases to 26% when examining only the subset of
syndromic patients. Airway obstruction compromises breathing
DOI: 10.31080/ASMS.2023.07.1715
Citation: Shimaa Hussein Kotb. “Neonatal Pierre Robin syndrome (Systematic Review)". Acta Scientific Medical Sciences 7.12 (2023): 42-46.