Neither age at operation nor type of intervention affected growth outcomes by 3 years of age, which were comparable with controls.Ĭopyright © 2021 American Association of Oral and Maxillofacial Surgeons. Patients that had MDO before 3 months of age had faster weight gain than those that had later operations. Patients with RS who had an airway operation in the first year of life demonstrated poorer early weight gain but caught up to controls by 2 years of age. Individuals that had MDO at <3 months of age had significantly faster weight gain than those that had later operations (P <. By 24 months of age, there were no weight differences between any study group. 05) and both surgical groups were underweight compared with controls (P <. At 6 months of age, the MDO group had the lowest mean weight (Z = -2.34 ± 1.88, P <. Mean age at tongue-lip adhesion was 37 ± 99 days compared with 247 ± 312 days for MDO (P <. Descriptive statistics were calculated, and statistical significance was set at P <. Individuals with tracheostomy or insufficient growth data were excluded. A control group of patients with isolated cleft palate without RS was also included. The primary outcome measure was weight-for-age Z-score. a weight gain sequence that was created in 2014 by an artist who disappeared, if you want to see that artist's artwork click on the link below.
The primary predictor variable was type of intervention (no operation, tongue-lip adhesion, mandibular distraction osteogenesis ). This is a retrospective cohort study of patients with RS treated at Boston Children's Hospital from 1995 to 2016. The aim of this study was to evaluate weight gain over the first 3 years of life in patients with RS.
Operations that improve airway obstruction are therefore theorized to facilitate feeding and weight gain, but the relationship between airway intervention and feeding improvement remains unclear. Infants with Robin sequence (RS) typically have impaired weight gain, presumed to result primarily from upper airway obstruction.
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