How Does It Happen
A sequence is when a single issue in development results in a chain of other issues.
In both a sequence and a syndrome, different symptoms and issues are grouped together into one condition, but with syndromes these issues dont occur one after the other in the same way.
In the case of Pierre Robin Sequence, the main feature is a small lower jaw , which leads to the tongue being more likely to fall backwards and obstruct the airways, which can then stop the palate from closing properly . These issues can happen by themselves or be seen together.
It happens very early on in pregnancy, but we dont know for sure why it happens. Research has looked into contracting a virus during pregnancy and folic acid deficiency as possible contributing factors, but nothing is known for sure. A contributing factor increases the chance of something happening, its not the whole cause, and in most cases there will several contributing factors. The key thing to remember is that, much like a cleft lip and/or palate, its very unlikely to happen just because of something a parent did or didnt do.
PRS can be a part of other syndromes/conditions which have genetic links, such as Stickler Syndrome. It can be hard to diagnose PRS because of this.
How Is Robin Sequence Treated
Often, the childs lower jaw , grows quickly during the first year of life such that by four to six years old, the profile looks normal. Children who will not exhibit this catch-up growth may require an operation. The simple procedure is to release and advance the tongue and attach it to the lower jaw and lower lip . Another more complicated but effective procedure involves cutting the mandible and gradually pushing it forward . Rarely, an infant with Robin sequence may need a tracheostomy for breathing.
The cleft palate in an infant with Robin sequence is generally closed before the first birthday.
What Heart Problems Are Associated With Cleft Palate
Cardiac anomalies are one of the most common congenital disorders associated in cleft lip and palate patientsIt includes Cyanotic and acyanotic cardiac diseases likel fallot’s tetralogy, transposition of greater vessels, atresia of tricuspid, total anomalous pulmonary venous return , truncus arteriosus, …
Read Also: Does Breast Cancer Qualify For Disability
What Does Pierre Robin Syndrome Look Like
Often called Pierre Robin sequence, the disease is a chain of developmental malformations, each leading to the next. The condition is characterized by a smaller-than-normal lower jaw, a tongue that falls back in the throat and airway obstruction. In many cases, your child will also have cleft palate.
How Is Pierre Robin Sequence Detected
Pierre Robin sequence can be diagnosed with a physical exam at birth. If your child has Pierre Robin sequence, you can expect treatment to come in stages. Since the condition affects a variety of functions, including hearing, breathing and feeding, several specialists will be involved in your child’s care.
Don’t Miss: Intellectual Disability And Adhd
When Can My Baby Go Home
Your baby will go home when he or she is able to keep his or her airway open and eat enough to grow and gain weight. Its hard to predict the length of stay for these babies because of the wide variation in the type of interventions that may be needed.
Many babies with this condition will go home with a variety of equipment, including an apnea monitor. As the parent, part of the discharge planning involves learning all you need to know to care for your baby at home.
If your baby needs surgery, he or she will need time to recover and learn to eat enough to grow. Expect a minimum of 1 to 2 weeks for those minimally affected and 4 to 6 weeks for those who require a gastrostomy tube and/or tracheostomy. The length of stay can also be affected by associated anomalies.
What Is Micrognathia And Pierre Robin Sequence
Micrognathia is a smaller than normal jaw, often the lower jaw or chin. Micrognathia may be part of a syndrome, which is a condition where more than one body system is involved. A syndrome may be inherited or come about spontaneously.
Pierre Robin sequence refers to a combination of small jaw, a normal tongue that is crowded at the back of the throat and difficulty with breathing. Sometimes there is a wide cleft palate . It is not clear why this occurs, but it may happen because of some problem with development early in pregnancy.
There are several reasons why the jawbone may not develop normally:
- Positional deformation
- Intrinsic hypoplasia
- Neurologic or neuromuscular problems
- Connective tissue disorder
The most important issue is that the airway may be blocked. Sometimes it is difficult to appreciate it in the early days after birth, and the struggle with breathing becomes more apparent a few days or weeks later. These babies often have difficulty gaining weight because they are using so much energy just to breath.
Read Also: Gaf Score Disability Rating
What Causes Velocardiofacial Syndrome
The condition has been traced to a missing segment on chromosome 22q11. The error generally arises randomly in children with no family history of the disorder. It is known as an autosomal dominant condition, meaning that only one parent needs to have the gene missing to pass it on to a child. When one parent has VCFS, the chance that his or her children will have the syndrome is about 50%. Most of the time, though, neither parent has the syndrome or carries the genetic defect.
What May You Expect In Digeorge Syndrome
In some cases people with DiGeorge syndrome have no symptoms at all. Sometimes they have distinctive facial features including hooded eyelids, cheek flatness, a prominent bulbous nasal tip, an underdeveloped chin, or ears that appear prominent with attached lobes. These features will vary from person to person.
Also Check: California State Disability Benefits Calculator
Study Selection And Data Extraction
The identified articles were screened using their titles and abstracts for potential duplicates and relevance to the topic of interest. Articles not related to the topic were excluded along with duplicates.
The full text of the screened articles was assessed using the abovementioned selection criteria. Only articles meeting the inclusion criteria were part of the qualitative analysis.
Steps 1 and 2 were performed independently by 2 reviewers . The kappa coefficient was calculated to assess the reliability between the 2 reviewers. Vital data including the study characteristics , study design, sample population, diagnostic criteria employed, the affected genes, and their corresponding mutations were extracted from the studies included in the qualitative review.
Risk of bias evaluation: The quality of the case series and case reports were evaluated using The Joanna Briggs Institute Critical Appraisal Checklist for Case Reports for the case series and case reports .
Common Conditions That Qualify For The Child Disability Tax Credit
The Canadian Disability Tax Credit, Child Disability Tax Credit, and Child Disability Benefit are government programs designed to provide financial support for families managing medical conditions that fulfill disability tax credit eligibility.
The list of medical conditions that can qualify for these disability benefits is extensive, and sometimes ambiguous. The confusion surrounding disability tax credit eligibility is one of the key reasons millions of Disability Tax Credit dollars go unclaimed, despite eligible Canadians in dire need of financial support.
To help families with children who are living with a medical condition, well highlight and detail what qualifies for the Disability Tax Credit and CDB in Canada. We can also help you fill out the Disability Tax Credit application.
Visit our dedicated pages for more information about these common conditions, and how we can help you claim the Child Disability Tax Credit and Child Disability Benefit for your child.
You May Like: Disability Universal Studios
What Causes Pierre Robin Sequence
The condition is referred to as a sequence because of the series of events that occur during fetal development. While the exact cause of the condition remains unknown, the sequence of anomalies experienced in the uterus begins with an underdeveloped jaw, which causes displacement of the tongue and subsequent formation of a U-shaped cleft palate. While some studies suggest there may be a genetic link, others point to crowding in the uterus or certain neurological conditions.
Does Inbreeding Cause Cleft Palate
Other side effects of an incestuous relationship include an increased risk of infertility, miscarriage, cleft palates, heart conditions, facial asymmetry, low birth weight, slow growth rate and neonatal mortality. “Even if there’s not always a mutation, inbreeding brings up a lot of problems involving recessive traits.
Pierre Robin Sequence Craniofacial Anomalies Uc Davis
- Babies born with Pierre Robin sequence commonly experience trouble breathing and feeding early on, resulting from the tongue’s position, smaller jaw size and the cleft palate formation. Additional symptoms of Pierre Robin sequence include
- Velocardiofacial syndrome, Stickler syndrome, and Treacher Collins syndrome are the most common genetic conditions associated with Pierre Robin sequence. Intellectual disabilities are not.
- Introduction The PierreRobin sequence describes a clinical triad of cleft palate, micrognathia, and glossoptosis. The condition is considerably more complicated than isolated cleft palate. Substantial respiratory and feeding problems may arise in affected individuals
- A child with Pierre-Robin Syndrome does not necessarily have apraxia. I cannot rule it out from the little I know about her. But the main issues are the small jaw and cleft lip/palate and their effect on speech and feeding. This is speech distortion due to structural anomaly
- e the cause for PRS. Statistics suggest that approximately 65% of children diagnosed with PRS are reported to have coexisting syndromes
- This report describes a complication of post-operative oedema of the palate, tongue and pharynx after a Perko-revised cleft palate repair, which resulted in a life-threatening airway obstruction in an infant with Pierre Robin syndrome
- or feeding difficulties
Pierre Robin Sequence And Intellectual Disability
I dont hear this disorder mentioned often but this afflicted would directly fall within this jaw surgery demographic since the condition is characterized by an abnormally underdeveloped lower jaw. This condition is known to result in certain deficits, some of which are cognitive and intellectual in nature. This could be either due to the upper airway obstruction caused by the retracted jaw/tongue, or possibly an obstruction of something else. Since this condition seems so relevant to this sub I am curious if anyone has had this condition and addressed it as an adult. I am also curious if there were any long-term cognitive/intellectual symptoms that were experienced due to the condition but resolved to any degree by the surgery.
Read Also: Ssi For Bpd
What Are The Biggest Concerns For My Baby After Birth
The two biggest issues for babies with Pierre Robin sequence are breathing and feeding issues.
Breathing issues: Babies with a small jaw and tongue that are pushed back may have difficulty breathing. If your baby has difficulty breathing, you may meet a team of specialists that includes:
- An ear, nose and throat doctor
- A craniofacial/plastic surgeon
- A pulmonologist
Pierre Robin Sequence Johns Hopkins Medicin
Also Check: How Do I Get 100 Va Disability
What Is Mandibular Distraction Surgery For Pierre Robin Sequence
For infants with Pierre Robin sequence , mandibular distraction surgery can provide symptom relief and prevent dangerous long-term issues. PRS is a congenital condition that causes micrognathia. The mandible pushes the tongue in a posterior position, causing cleft palate in most and significant upper airway obstruction in many patients.
Pierre Robin Sequence Diagnosis And Treatment
Pierre Robin sequence can be diagnosed with a physical exam at birth. If your child has Pierre Robin sequence, you can expect treatment to come in stages. Since the condition affects a variety of functions, including hearing, breathing and feeding, several specialists will be involved in your childs care.
Also Check: Sciatica Disability Rating
Consultation With The Specialist: The Pierre Robin
What Does This Mean For My Child
Most children with Pierre Robin Sequence grow up normally, even if they start their lives with quite severe problems.
All babies with Pierre Robin Sequence will have some difficulties, but these will vary from child to child.
Some have no problems with breathing and only minor feeding difficulties. These babies can usually go home shortly after birth.
Others have moderate difficulties which may mean they have to stay in hospital until breathing and feeding patterns can be established. They may need to use a feeding tube for a while at home.
A smaller group of babies have major difficulties in both areas, and these can persist for several months and require the assistance of a nasal prong or even a tracheostomy. This can be very difficult for parents to cope with, so its important they get the right support and remember that these issues will improve as their child gets older.
All babies born with PRS need to be carefully investigated and monitored to make sure they can continue to take in enough oxygen. Parents need help and advice about the right feeding bottles and positions for feeding, which should again be given by experienced professionals. This help can come from a Cleft Team, a specialist health visitor, a speech and language therapist, a feeding clinic, or a combination of the above.
Read Also: Perdita Weeks Disability
Cleft Palate And Hearing Problems
The timing of the cleft palate repair varies depending on the childs individual growth and development. It is typically addressed within 1 to 2 years of age.
Cleft palate is repaired with a two- to three-hour surgical procedure and requires a one- to two-night hospital stay. During the procedure, tubes may be inserted into the ear to lessen fluid buildup.
Some children may also require speech therapy following cleft palate repair.
What Kind Of Doctor To See For Pierre Robin
Orthodontists, pediatric dentists and craniofacial surgeons should work together to monitor dental development. Parents and doctors should continue to monitor child development particularly jaw and tooth development, growth, and speech after treatment for conditions related to Pierre Robin sequence.
Recommended Reading: How Much Do Ssdi Lawyers Charge
What Causes A Recessed Chin In Newborns
It mainly occurs in children who are born with certain genetic conditions, such as trisomy 13 and progeria. It can also be the result of fetal alcohol syndrome. In some cases, this problem goes away as the child’s jaw grows with age. In severe cases, micrognathia can cause feeding or breathing problems.
Acute Airway Obstruction In An Infant With Pierre Robin
Obstructive sleep apnea is when a child briefly stops breathing while sleeping. It often occurs because of a blockage in the airway. The most common cause is large tonsils and adenoids in the upper airway. Loud snoring or noisy breathing while sleeping is a main symptom. Your child may also be irritable, sleepy or hyperactive during the day Untreated sleep apnea in children can cause mood disturbances, depression, learning deficits, ADHD, bedwetting and developmental delays. A small percentage of children inherit naturally short airways, and certain disorders are associated with shortened airways, including Down syndrome and PierreRobinsyndrome Chiari Malformations. Chiari malformations are a group of central nervous system conditions characterized by the underdevelopment of the posterior cranial fossa with subsequent protrusion of neural structures through the foramen magnum. There are 4 types of CM, with type I being the most common. Headaches are the most common symptom
What Causes Pierre Robin Syndrome
4.4/5causesPierre Robin syndromecausePierre Robin sequencedetail here
Pierre Robin syndrome is a congenital condition recently linked to genetic anomalies at chromosomes 2, 11 or 17. The condition is characterized by a smaller-than-normal lower jaw, a tongue that falls back in the throat and airway obstruction. In many cases, your child will also have cleft palate.
One may also ask, is Pierre Robin Syndrome a disability? Intellectual disability-brachydactyly-Pierre Robin syndrome is a rare developmental defect during embryogenesis syndrome characterized by mild to moderate intellectual disability and phsychomotor delay, Robin sequence (incl.
Also, is Pierre Robin Syndrome hereditary?
Isolated Pierre Robin sequence is usually not inherited. When the condition is inherited, it follows an autosomal dominant pattern, which means one copy of the DNA alteration in each cell is sufficient to cause the disorder.
Is Pierre Robin sequence rare?
Pierre Robin sequence is also known as Pierre Robin syndrome or Pierre Robin malformation. It is a rare congenital birth defect characterized by an underdeveloped jaw, backward displacement of the tongue and upper airway obstruction. Cleft palate is also commonly present in children with Pierre Robin sequence.