Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
Department of Dentistry, Oral and Maxillofacial Surgery, Hachmohe Red Cross Hospital
Department of Dentistry, Oral and Maxillofacial Surgery, Hachmohe Red Cross Hospital
Department of Dentistry, Oral and Maxillofacial Surgery, Hachmohe Red Cross Hospital
Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
抄録(日)
われわれは八戸赤十字病院小児科から, Robin sequenceの生後12週男児の呼吸障害の改善のための対診を依頼された。患者は下顎後退,上気道閉塞,軟口蓋裂,舌小帯強直症がみられた。当科を受診前に,何度か重度の呼吸障害がみられ,2か月以上気管内挿管による呼吸管理か行われていた。患者の咽頭部の閉塞は,内規鏡検査によるSheyの分類のType 1であったため,われわれは生後15週でArgamaso変法による舌固定術を行った。術後2年5か月経過するが,以来患者にチアノーセは見られず,舌固定術は同患者に有効な治療法と思われた。
抄録(英)
A 12-week-old boy with Robin sequence was referred to us for respiratory improvement by a pediatrician in Hachmohe Red Cross Hospital The patient had micrognathia, upper airway obstruction, incomplete cleft palate and ankyloglossia The patient had a history of repeated cyanotic episodes and had been under respiratory care with endotracheal intubation for more than 2 months Using flexible fiber optic nasopharyngoscopy, his pharyngeal obstruction was classified as Type 1 of Sher's classification Thus, we performed glossopexy of modified Argamaso method at 15 weeks after birth The patient has had no cyanotic episodes at 2 years and 5 months postoperatively We conclude that the glossopexy was effective for this patient