eMedicine Specialties > Pediatrics: Surgery > Otolaryngology

Pierre Robin Malformation: Multimedia

Author: Marie M Tolarova, MD, PhD, DSc, Professor and Executive Director, UOP Craniofacial Team, Cleft Prevention Program, Department of Orthodontics, University of the Pacific School of Dentistry
Contributor Information and Disclosures

Updated: Mar 25, 2009

Multimedia

Three-week-old baby boy affected with nonsyndromi...
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Media file 1: Three-week-old baby boy affected with nonsyndromic Robin sequence.
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Three-week-old baby boy affected with nonsyndromi...

Three-week-old baby boy affected with nonsyndromic Robin sequence.

One-month-old baby affected with nonsyndromic Rob...
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Media file 2: One-month-old baby affected with nonsyndromic Robin sequence.
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One-month-old baby affected with nonsyndromic Rob...

One-month-old baby affected with nonsyndromic Robin sequence.

Patient from Media file 2 at age 4 years. The pro...
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Media file 3: Patient from Media file 2 at age 4 years. The profile is almost normal because of catch-up growth.
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Patient from Media file 2 at age 4 years. The pro...

Patient from Media file 2 at age 4 years. The profile is almost normal because of catch-up growth.

Patient from Media file 2.
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Media file 4: Patient from Media file 2.
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Patient from Media file 2.

Patient from Media file 2.

U-shaped and V-shaped cleft palates.
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Media file 5: U-shaped and V-shaped cleft palates.
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U-shaped and V-shaped cleft palates.

U-shaped and V-shaped cleft palates.

Eight-year-old boy with Stickler syndrome. Note a...
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Media file 6: Eight-year-old boy with Stickler syndrome. Note a flat, hypotonic face and small mandible. He also has a U-shaped, wide cleft palate (CP). His mandible does not show catch-up growth. He is a mouth-breather and snores. He is using his CP as an airway. A closing of the CP without preparation would compromise his airway passage. The authors recommend placement of an obturator (perhaps with a speech bulb) for a couple of hours a day at first and gradually increasing the time. After a few months, when the child will have changed his breathing pattern, the palate can be closed.
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Eight-year-old boy with Stickler syndrome. Note a...

Eight-year-old boy with Stickler syndrome. Note a flat, hypotonic face and small mandible. He also has a U-shaped, wide cleft palate (CP). His mandible does not show catch-up growth. He is a mouth-breather and snores. He is using his CP as an airway. A closing of the CP without preparation would compromise his airway passage. The authors recommend placement of an obturator (perhaps with a speech bulb) for a couple of hours a day at first and gradually increasing the time. After a few months, when the child will have changed his breathing pattern, the palate can be closed.

Eight-year-old boy with Stickler syndrome from th...
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Media file 7: Eight-year-old boy with Stickler syndrome from the previous picture. Note a flat, hypotonic face and a small mandible. His mandible does not show catch-up growth.
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Eight-year-old boy with Stickler syndrome from th...

Eight-year-old boy with Stickler syndrome from the previous picture. Note a flat, hypotonic face and a small mandible. His mandible does not show catch-up growth.

Eight-year-old boy with Stickler syndrome from pr...
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Media file 8: Eight-year-old boy with Stickler syndrome from previous 2 pictures. Note a U-shaped, wide cleft palate.
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Eight-year-old boy with Stickler syndrome from pr...

Eight-year-old boy with Stickler syndrome from previous 2 pictures. Note a U-shaped, wide cleft palate.

Robin sequence in some recognized and unrecognize...
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Media file 9: Robin sequence in some recognized and unrecognized syndromes.
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Robin sequence in some recognized and unrecognize...

Robin sequence in some recognized and unrecognized syndromes.

Robin sequence and complexes.
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Media file 10: Robin sequence and complexes.
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Robin sequence and complexes.

Robin sequence and complexes.

Robin sequences and complexes.
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Media file 11: Robin sequences and complexes.
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Robin sequences and complexes.

Robin sequences and complexes.

Child with Pierre Robin Sequence prior to distrac...
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Media file 12: Child with Pierre Robin Sequence prior to distraction osteogenesis.
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Child with Pierre Robin Sequence prior to distrac...

Child with Pierre Robin Sequence prior to distraction osteogenesis.

Distraction osteogenesis is completed, and the bo...
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Media file 13: Distraction osteogenesis is completed, and the bone is consolidating.
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Distraction osteogenesis is completed, and the bo...

Distraction osteogenesis is completed, and the bone is consolidating.

More on Pierre Robin Malformation

Overview: Pierre Robin Malformation
Differential Diagnoses & Workup: Pierre Robin Malformation
Treatment & Medication: Pierre Robin Malformation
Follow-up: Pierre Robin Malformation
Multimedia: Pierre Robin Malformation
References
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References

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Further Reading

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Keywords

Pierre Robin malformation, Pierre Robin syndrome, Robin sequence, Pierre Robin anomalad, Robin complexes, Pierre Robin malformation complex, syndromic Robin sequence, nonsyndromic Robin sequence, Velocardiofacial syndrome, Stickler syndrome, Stickler's syndrome, autosomal dominant Stickler syndrome, Treacher Collins syndrome, Nager syndrome, spondyloepiphyseal dysplasia congenita, spondyloepiphyseal dysplasia congenita, SED, cleft palate, CP, connective tissue dysplasia, 22q11.2 deletion syndrome, spondyloepiphyseal dysplasia congenita, respiratory distress, micrognathia, glossoptosis, oligohydramnios, treatment, diagnosis, orofacial cleft, hypoxia, cor pulmonale, failure to thrive, cerebral impairment

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Contributor Information and Disclosures

Author

Marie M Tolarova, MD, PhD, DSc, Professor and Executive Director, UOP Craniofacial Team, Cleft Prevention Program, Department of Orthodontics, University of the Pacific School of Dentistry
Marie M Tolarova, MD, PhD, DSc is a member of the following medical societies: American Cleft Palate/Craniofacial Association, American Society of Human Genetics, and International Association for Dental Research
Disclosure: Nothing to disclose.

Medical Editor

Orval Brown, MD, Director of Otolaryngology Clinic, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center at Dallas
Orval Brown, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Bronchoesophagological Association, American College of Surgeons, American Medical Association, American Society of Pediatric Otolaryngology, Society for Ear, Nose and Throat Advances in Children, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Alan D Murray, MD, Pediatric Otolaryngologist, ENT for Children; Full-Time Staff, Medical City Dallas Children's Hospital; Consulting Staff, Department of Otolaryngology, Medical Center of Lewisville, Children's Medical Center at Dallas, Cook Children's Medical Center; Full-Time Staff, Texas Pediatric Surgery Center, The Pediatric Surgery Center
Alan D Murray, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American College of Surgeons, American Society of Pediatric Otolaryngology, Society for Ear, Nose and Throat Advances in Children, and Texas Medical Association
Disclosure: Nothing to disclose.

CME Editor

Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor, Department of Pediatrics, New York University School of Medicine
Daniel Rauch, MD, FAAP is a member of the following medical societies: Ambulatory Pediatric Association, American Academy of Pediatrics, and Society of Hospital Medicine
Disclosure: Baxter Honoraria Consulting

Chief Editor

Glenn C Isaacson, MD, FACS, FAAP, Professor of Otolaryngology-Head and Neck Surgery and Pediatrics, Temple University School of Medicine
Glenn C Isaacson, MD, FACS, FAAP is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Bronchoesophagological Association, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Society of Pediatric Otolaryngology, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Covidien Honoraria Consulting

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