Clinical features: Triad
1. Micrognathia- Small lower jaw / mandible
2. Cleft palate
3. Glossoptosis- Tongue is posterior displaced or retracted
Complication:
• Airway obstruction is the m/c complication of pierre robin syndrome.
• The small mandible and retracted tongue causes the base of the tongue to fall back into the throat, may ultimately lead to airway obstruction.
Treatment:
• Surgery to correct the cleft palate
• Positioning therapy to keep the tongue forward, relieving airway obstruction in most infants.
• Tracheostomy to create an airway opening in the neck.
Extra-
Tongue protrusion and retraction-
• Protrusion of tongue: Pushing the tongue out of the mouth, with the tip extending beyond the lips
• Retraction of tongue: Pulling the tongue back into the mouth, with the tip resting behind the lower teeth