Pierre Robin syndrome (or sequence) is a condition present at birth, in which the infant has a smaller-than-normal lower jaw, a tongue that falls back in the throat, and difficulty breathing. Causes
The exact causes of Pierre Robin syndrome are unknown. It may be part of many genetic syndromes. The lower jaw develops slowly before birth, but speeds up during the first year of life. Symptoms:
High-
arched palate
Jaw that is very small with small (receding) chin
Jaw that is far back in the throat
Repeated ear infections
Small opening in the roof of the mouth, which causes choking
Tongue that is large compared to the jaw
Treatment
Infants with this condition should NOT be put on their back, to prevent the tongue from falling back into the airway. In moderate cases, the patient will need to have a tube placed through the nose and into the airways to avoid airway blockage. In severe cases, surgery is needed to prevent a blockage in the upper airway. Some patients need surgery to make a hole in the windpipe (tracheostomy). Outlook (Prognosis)
Choking and feeding problems may go away on their own over the first few years as the lower jaw grows to a more normal size. There is a significant risk of problems if the airways are not protected against blockage. Possible Complications
Breathing difficulties, especially when the child sleeps
Choking episodes
Congestive heart failure
Death
Feeding difficulties
Low blood oxygen and brain damage (due to difficulty breathing)
Pulmonary hypertension
Call your health care provider if your child has choking episodes or breathing problems. A blockage of the airways may cause a high-pitched crowing noise when the child breathes in. It can also lead to blueness of the skin (cyanosis). Also call if your child has other breathing problems. Prevention
There is no known prevention. Treatment may reduce the episodes of breathing problems and choking. Hunter has most of see issues and we are praying(and have been told by many medical professionals) that this surgery will correct the issues he is having due to this birth defect.
