Pierre Robin syndrome

Alternative Names

Treatment

Infants with this condition should NOT be put on their back, so that the tongue does not fall back into the airway.

Problems associated with this syndrome tend to get better over the first few years as the lower jaw grows to a more normal size.

In moderate cases, the patient requires placement of a tube through the nose and into the airways to avoid airways blockage. In severe cases, surgery is needed to prevent upper airways obstruction. A tracheostomy (surgery to make a hole in the windpipe) is sometimes required.

Feeding must be done very carefully to avoid choking and breathing liquids into the airways.

Support Groups

For support and information, see www.pierrerobin.org and www.cleftline.org.

Outlook (Prognosis)

Choking and feeding problems may go away on their own as the jaw grows. There is a significant risk of problems if the airways are not protected against blockage.

Possible Complications

• Feeding through a tube may occasionally be necessary to avoid choking
• Difficulty breathing may lead to low blood oxygen and brain damage
• Pulmonary hypertension
• Congestive heart failure
• Death

When to Contact a Medical Professional

This condition is often seen at birth.

Call if choking episodes or breathing problems increase in frequency. Airways blockage may cause a high-pitched crowing noise when the child breathes in. It can also lead to blueness of the skin (cyanosis).

Also call if other breathing problems occur.