Robin Sequence 患者における舌前方固定術前・後の栄養摂食経路および体重増加に関する検

Robin Sequence

北海道歯学会

北海道歯学雑誌

Robin Sequence (RS) is a disease with micrognathia airway obstruction caused by glossoptosis and a U shaped cleft palate as a cardinal symptom. Here, we report on the nutrition route and weight gain after tongue lip adhesion in patients with Robin Sequence. 【Materials and Methods】 Of the RS cases examined during 2011-2015, 7 nonsyndromic RSs (2 boys, 5 girls) who underwent tongue lip adhesion by the Argamaso method were selected. All cases improved respiratory conditions after the operation. We studied the nutrition route and weight gain before and after the operation. 【Results】6 out of 7 cases (86 %) needed management of tube feeding before the operation. 5 out of 7 cases (71 %) were able to orally feed in early postoperative time after the operation. One case could not withdraw from nasal feeding, and ingestion became possible after 11.5 months. The remaining one case required 6 months before ingestion became possible. Regarding the amount consumed by sucking, for 4 out of 5 cases (80 %) where ingestion was possible from a few days after performing tongue lip adhesion, suckling at the same level as the age guidance. 4 of 7 (57 %) cases, weight gain was poor before the operation, but 6 out of 7 cases (88 %) improved after the operation. 3 cases showed marked improvementwhen respiratory conditions stabilized after the operation. 【Conclusion】 Tongue lip adhesion in RS children is an effective method that can not only stabilize respiratory conditions, but can also improve the disorder of oral ingestion, and it was suggested that this method can promote stable weight gain.