Cleft - Ultimate Treatment
A. SIEBOLD-ROBIN SEQUENCE Treatment protocol for the Pierre Robin sequenceâ€™s subdivision â€“ Siebold-Robin sequence Two main problems (SRS) 1. Airway problem 2. Feeding problem Is anaesthetic intubation feasible to perform tracheostomy or distraction?
After birth (in sequence) Breathing problem + treatment 1. Intubation and ventilation (if necessary) 2. Non-cleft suction plate with distal extension (to maintain the tongue - pharyngeal space) 3. Glossopexia 4. Long-term nasopharyngeal intubation 5. Tracheotomy 6. Mandibular distraction (afterwards - closure of tracheostomy) Feeding problem + treatment 1. Nasogastric tube 2. Gastrostomy
Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...