Lewis M B, Pashayan H M
Clin Pediatr (Phila). 1980 Aug;19(8):519-21, 525-8. doi: 10.1177/000992288001900802.
Congenital micrognathia and secondary glossoptosis, with or without cleft palate, constitute the Robin anomaly. Neonates with this condition are usually at great risk for life-threatening respiratory and feeding problems. The approach to the management of infants with this condition has included, in order of increasing complexity, positioning of the patient, surgical tongue-lip adhesion and tracheostomy. Because of dissatisfaction with the effectiveness of surgical tongue-lip adhesion, and a desire to avoid performing a tracheostomy, a trial of intense non-surgical management was instituted. Ten consecutive patients admitted to the Boston Floating Hospital with Robin anomaly were treated successfully by positioning, without requiring tongue-lip adhesion or tracheostomy. Medical management procedures are outlined and discussed.
先天性小颌畸形并伴有或不伴有腭裂的继发性舌后坠，构成了罗宾序列征。患有这种病症的新生儿通常面临危及生命的呼吸和喂养问题的巨大风险。对于患有这种病症的婴儿的治疗方法，按照复杂程度递增的顺序包括：患者体位调整、外科舌-唇粘连术和气管切开术。由于对外科舌-唇粘连术的效果不满意，并且希望避免进行气管切开术，于是开展了一项强化非手术治疗的试验。连续十名入住波士顿漂浮医院的患有罗宾序列征的患者通过体位调整成功治愈，无需进行舌-唇粘连术或气管切开术。本文概述并讨论了药物治疗方法。
