• Int. J. Pediatr. Otorhinolaryngol. · Sep 2015

    Case Reports

    Airway obstruction after lingual frenulectomy in two infants with Pierre-Robin Sequence.

    • Dane J Genther, Margaret L Skinner, Patti J Bailey, Randolph B Capone, and Patrick J Byrne.
    • Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States. Electronic address: dgenthe2@jhmi.edu.
    • Int. J. Pediatr. Otorhinolaryngol. 2015 Sep 1; 79 (9): 1592-4.

    AbstractPierre-Robin Sequence (PRS) is defined as the triad of micrognathia, glossoptosis, and cleft palate and affects approximately 1/8500 births. Airway obstruction is common in infants with PRS and results from glossoptosis leading to pharyngeal obstruction. Any procedure that increases the severity of glossoptosis, such as lingual frenulectomy, may increase the risk of obstruction or aggravate existing obstruction. This report discusses two cases of significant airway decompensation after lingual frenulectomy requiring surgical intervention in infants with PRS. We suggest that lingual frenulectomy be contraindicated in infants with PRS or suspected PRS due to the possible increased risk of airway obstruction.Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

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