피에르 로빈 증후군 환자에서의 설고정술과 고주파 치료를 동반한 복합치료
Combination therapy using glossopexy and radiofrequency therapy in Pierre Robin sequence
오유진, Rotaru Horatiu, 박영욱, 권광준, 김성곤, 김민근,
소속 상세정보
오유진 ( Oh Yu-jin ) - 강릉원주대학교 치과대학 구강악안면외과학교실
( Rotaru Horatiu ) - 루마니아 Iuliu Hatieganu Hatieganu University
박영욱 ( Park Young-Wook ) - 강릉원주대학교 치과대학 구강악안면외과학교실
권광준 ( Kwon Kwang-Jun ) - 강릉원주대학교 치과대학 구강악안면외과학교실
김성곤 ( Kim Seong-Gon ) - 강릉원주대학교 치과대학 구강악안면외과학교실
김민근 ( Kim Min-Geun ) - 강릉원주대학교 치과대학 구강악안면외과학교실
KMID : 0360120100320030242
Abstract
Pierre Robin sequence (PRS) describes the clinical triad of micro- and/or retrognathia, glossoptosis and cleft soft palate. Glossopexy has been demonstrated to be an effective treatment in selected cases of obstruction caused by glossoptosis (generally 6 to 10 months of glossopexy period). If radiofrequency therapy (RF) can reduce tongue volume in PRS, it will be helpful in early releasing of the glossopexy. Two-dayold patient showed a PRS triad. Intermittent cyanosis, respiratory difficulty and feeding problems were also observed. The respiration was not improved and prolonged intubation increased the possibility of respiratory complications like pneumonia. The surgical intervention- glossopexy and RF was done 20 days after birth. We applied RF combined with conventional glossopexy and could get successful results while reducing the overall treatment time to 6 weeks. The follow-up until 12 months after birth was uneventful. Considering that early recovery is highly beneficial to PRS patients by reducing risks associated with glossopexy and low energy RF application is very simple and low risk to patient, our combination therapy should be considered for the treatment of airway problem related to PRS.
키워드
Pierre Robin sequence; Glossopexy; Radiofrequency therapy; Combination therapy
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