Pierre Robin sequence (PRS) indicates the association of glossoptosis, micrognathia and airway blocking. Cases immediately after birth with severe dyspnea due to upper airway blocking are very unusual with this syndrome. We reported a case with PRS who developed severe dyspnea due to morphological abnormality immediately after birth and were rescued for short time by fiberoptic nasotracheal intubation. The patient had micrognathia and cleft palate, and his tongue protruded into the nasal cavity via a cleft palate. He was diagnosed as Pierre Robin sequence due to his invaginated tongue was considered an extreme type of glossoptosis. The patient also accompanied some anomalad. Unaccepted, her chromosome analysis showed a normal configuration. Moreover, tongue protruded into the nasal cavity via a cleft palate occupied pharynx and nasal cavity, resulting in severe dyspnea. Therefore, fiberoptic nasotracheal intubation was done to secure the airway for resuscitation. PRS case with extreme type of glossoptosise require resuscitation by fiberoptic intubation immediately after birth. As such, neonatologists should obtain the skill of fiberoptic intubation.
Full text online at https://drive.google.com/file/d/1Xi2DTuEHz_VF-2aaDOtImTAZ3C6PIHTT/view
Case presentation;Pierre Robin sequence;Glossoptosis;Micrognathia;Airway blocking;Fiberoptic nasotracheal intubation