#pierrerobinsyndrome

[smbalaji]

Cleft Palate Repair in Child with Pierre Robin Syndrome This child was born with Pierre Robin syndrome along with an accompanying isolated wide cleft palate deformity. Children with Pierre Robin syndrome developed obstructive sleep apnea due to their mandibular micrognathia. His parents were extensively counseled regarding his condition and it was decided to perform cleft palate repair at 11 months of age. The Wardill-Kilner palatal pushback technique was used to surgically repair this. As his cleft palate was very wide, greater palatine osteotomy was performed for better mobilization of the greater palatine artery to enable better closure of the cleft defect. Using Delaire’s principle, the abnormal attachment of the levator palati and tensor palati were detached and a hammock was form with the muscle fibers. This recreated normal palatal structure. There was also perfect recreation of the uvula. He would need to undergo distraction osteogenesis of the mandible at a later date to correct his mandibular micrognathia. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #PierreRobinSyndrome #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CGXbHJAHzPU/?igshid=juyzpsny2s9r

[smbalaji]

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Pierre Robin Syndrome – Bilateral Distraction for Correction of Micrognathia This little girl was born with Pierre Robin syndrome with mandibular micrognathia and preauricular tags. She also had resultant obstructive sleep apnea. Her parents said that she slept most of the time, was quite irritable and not very active. She was referred from her hometown to our hospital for management of her condition. Her parents were educated on her condition and treatment planning was explained to them following which they consented to surgery. She needed bidirectional lengthening of her ramus as well body of the mandible. A bidirectional distractor was chosen with the vertical arm to increase the ramus length and the horizontal arm to increase the length of the body of the mandible. She underwent bilateral distraction osteogenesis for lengthening of her micrognathic mandible. A distraction of 12 mm was performed vertically and 18 mm horizontally. Distractors were removed after consolidation of bone at the distracted sites. There was complete resolution of her obstructive sleep apnea and snoring following surgery. Her oxygen saturation levels were normal and she was seen to be very active in the ward before discharge from the hospital. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #PierreRobinSyndrome #BilateralDistraction #Micrognathia (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFHrb-WAJIU/?igshid=1marmd8prta5q