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Rickart AJ, Sikdar O, Jenkinson A, Greenough A. Diagnosis and Early Management of Robin Sequence. CHILDREN (BASEL, SWITZERLAND) 2024; 11:1094. [PMID: 39334626 PMCID: PMC11430236 DOI: 10.3390/children11091094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2024] [Revised: 08/20/2024] [Accepted: 09/03/2024] [Indexed: 09/30/2024]
Abstract
The results of a survey of twenty-four neonatal units in the United Kingdom and Ireland are presented. A structured ten-item questionnaire was used, and demonstrated the variation in how infants with RS are diagnosed and managed. Notably, the survey revealed that a minority of infants were diagnosed antenatally. There were significant discrepancies in diagnostic criteria used and 79% of the units referred the patients to tertiary services. A preference for minimally invasive approaches to managing upper airway obstruction, such as a trial of prone positioning before progressing to a nasopharyngeal airway, was reported by 96% of the centers. A narrative review was undertaken which discusses the current practices for diagnosis and early management of Robin sequence (RS). The challenges of antenatal diagnosis, strategies to enhance outcomes through early detection and controversies surrounding the management of neonatal upper airway obstruction associated with RS are included. The results of the survey and our comprehensive review of the literature emphasize that there remains uncertainty regarding the best approach to treating Robin sequence.
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Affiliation(s)
| | | | | | - Anne Greenough
- Department of Women and Children’s Health, Faculty of Life Sciences and Medicine, King’s College London, London SE5 9RS, UK
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2
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Patino M, Jaimes C, Robson CD. Fetal Head and Neck Imaging. Magn Reson Imaging Clin N Am 2024; 32:413-430. [PMID: 38944431 DOI: 10.1016/j.mric.2024.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/01/2024]
Abstract
Prenatal MRI plays an essential role in the evaluation of the head and neck. This article overviews technical considerations and both isolated and syndromic anomalies of the fetal calvarium, globes and orbits, ears, maxilla, mandible, and neck.
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Affiliation(s)
- Manuel Patino
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA; Pediatric Imaging Research Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
| | - Camilo Jaimes
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA; Pediatric Imaging Research Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
| | - Caroline D Robson
- Neuroradiology Division, Department of Radiology, Boston Children's Hospital, Harvard Medical School, Main Building 2nd Floor, 300 Longwood Avenue, Boston, MA 02115, USA.
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3
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Resnick CM, Katz E, Varidel A. MicroNAPS: A Novel Classification for Infants with Micrognathia, Robin Sequence, and Tongue-based Airway Obstruction. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2023; 11:e5283. [PMID: 37744769 PMCID: PMC10513129 DOI: 10.1097/gox.0000000000005283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 08/02/2023] [Indexed: 09/26/2023]
Abstract
Background Robin sequence (RS) describes a heterogeneous population with micrognathia, glossoptosis, and upper airway obstruction (UAO). Workup, treatment, outcomes assessment, and research inclusion are widely variable. Despite several classifications and algorithms, none is broadly endorsed. The objective of this investigation was to develop and trial a novel classification system designed to enhance clinical communication, treatment planning, prognostication, and research. Methods This is a retrospective cross-sectional study. A classification system was developed with five elements: micrognathia, nutrition, airway, palate, syndrome/comorbidities (MicroNAPS). Definitions and a framework for "stage" assignment (R0-R4) were constructed. Stage "tongue-based airway obstruction" (TBAO) was defined for infants with glossoptosis and UAO without micrognathia. MicroNAPS was applied to 100 infants with at least 1-year follow-up. Clinical course, treatment, airway, and feeding characteristics were assessed. Descriptive and analytic statistics were calculated and a P value less than 0.05 was considered significant. Results Of the 100 infants, 53 were male. Mean follow-up was 5.0 ± 3.6 years. R1 demonstrated feeding-predominant mild RS for which UAO was managed nonoperatively but gastrostomy tubes were prevalent. R2 was characterized by airway-predominant moderate RS, typically managed with mandibular distraction or tongue-lip adhesion, with few gastrostomy tubes and short lengths-of-stay. R3 denoted severe RS, with similar UAO treatment to R2, but with more surgical feeding tubes and longer admissions. R4 represented a complex phenotype with 33% tracheostomies, protracted hospitalizations, and delayed palatoplasty. R0 ("at risk") and TBAO groups displayed the most variability. Conclusions MicroNAPS is easy to use and associated with relevant disease characteristics. We propose its adoption in clinical and research settings.
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Affiliation(s)
- Cory M. Resnick
- From the Department of Oral and Maxillofacial Surgery, Harvard Medical School, Boston, Mass
- Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, Mass
| | - Eliot Katz
- Department of Pediatrics, Harvard Medical School, Boston, Mass
- Department of Pulmonary-Sleep Medicine, Boston Children’s Hospital, Boston, Mass
| | - Alistair Varidel
- Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, Mass
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Machado-Rivas F, Cortes-Albornoz MC, Afacan O, Bedoya MA, Calixto C, Choi JJ, Ruggiero M, Gholipour A, Jaimes C. Fetal MRI at 3 T: Principles to Optimize Success. Radiographics 2023; 43:e220141. [PMID: 36995947 PMCID: PMC10091224 DOI: 10.1148/rg.220141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 08/08/2022] [Accepted: 08/10/2022] [Indexed: 03/31/2023]
Abstract
Fetal MRI has emerged as a cornerstone of prenatal imaging, helping to establish the correct diagnosis in pregnancies affected by congenital anomalies. In the past decade, 3 T imaging was introduced as an alternative to increase the signal-to-noise ratio (SNR) of the pulse sequences and improve anatomic detail. However, imaging at a higher field strength is not without challenges. Many artifacts that are barely appreciable at 1.5 T are amplified at 3 T. A systematic approach to imaging at 3 T that incorporates appropriate patient positioning, a thoughtful protocol design, and sequence optimization minimizes the impact of these artifacts and allows radiologists to reap the benefits of the increased SNR. The sequences used are the same at both field strengths and include single-shot T2-weighted, balanced steady-state free-precession, three-dimensional T1-weighted spoiled gradient-echo, and echo-planar imaging. Synergistic use of these acquisitions to sample various tissue contrasts and in various planes provides valuable information about fetal anatomy and pathologic conditions. In the authors' experience, fetal imaging at 3 T outperforms imaging at 1.5 T for most indications when performed under optimal circumstances. The authors condense the cumulative experience of fetal imaging specialists and MRI technologists who practice at a large referral center into a guideline covering all major aspects of fetal MRI at 3 T, from patient preparation to image interpretation. © RSNA, 2023 Quiz questions for this article are available in the supplemental material.
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Affiliation(s)
- Fedel Machado-Rivas
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
| | - Maria Camila Cortes-Albornoz
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
| | - Onur Afacan
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
| | - Maria Alejandra Bedoya
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
| | - Camilo Calixto
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
| | - Jungwhan John Choi
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
| | - Matthew Ruggiero
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
| | - Ali Gholipour
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
| | - Camilo Jaimes
- From the Department of Radiology, Boston Children’s Hospital,
300 Longwood Ave, Boston, MA 02215 (F.M.R., M.C.C.A., O.A., M.A.B., C.C., M.R.,
A.G., C.J.); Department of Radiology, Harvard Medical School, Boston, Mass
(J.J.C.); and Department of Radiology, Cincinnati Children’s Hospital,
Cincinnati, Ohio (F.M.R., M.C.C.A., O.A., M.A.B., C.C., A.G., C.J.)
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de Vreugt V, Choi JJ, Caprio RM, Jindal S, Koudstaal MJ, Estroff JA, Resnick CM. Can Dynamic Magnetic Resonance Images Improve Prenatal Diagnosis of Robin Sequence. J Oral Maxillofac Surg 2023; 81:165-171. [PMID: 36400156 DOI: 10.1016/j.joms.2022.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 10/17/2022] [Accepted: 10/17/2022] [Indexed: 11/07/2022]
Abstract
BACKGROUND Robin sequence (RS) is a triad of micrognathia, glossoptosis, and airway obstruction. Prenatal diagnosis of RS improves delivery planning and postnatal care, but the process for prenatal diagnosis has not been refined. The purpose of this study was to determine if dynamic cine magnetic resonance imaging (MRI) can improve the reliability of prenatal diagnosis for RS compared to current static imaging techniques. MATERIALS AND METHODS This is a retrospective cross-sectional study including fetuses with prenatal MRIs obtained in a single center from January 2014 to November 2019. Fetuses were included if they: 1) had a prenatal MRI with cine dynamic sequences of adequate quality, 2) were live born, and 3) had postnatal craniofacial evaluation to confirm RS. Patients without postnatal confirmation of their prenatal findings were excluded. The primary predictor variable was imaging type (cine or static MRI). Outcome variables were tongue and airway measurements: 1) tongue height, 2) length and width, 3) tongue shape index, 4) observation of tongue touching the posterior pharyngeal wall, and 5) measurement of oropharyngeal space. All measurements were made independently on the cine images and on static MRI sequences for the same cohort of subjects by a pediatric radiologist. Data were analyzed using paired samples t tests and Fisher exact tests, and significance was set as P < .05. RESULTS A total of 11 patients with RS were included in the study. The smallest airway space consistently demonstrated complete collapse on the cine series compared to partial collapse on static images (0 mm vs 1.7 ± 1.4 mm, P = .002). No other imaging variable was statistically significantly different between techniques. CONCLUSIONS Cine imaging sequences on prenatal MRI were superior to static images in discerning complete collapse of the smallest airway space, an important marker of RS. This suggests a possible benefit to adding dynamic MRI evaluation for prenatal diagnosis of this condition.
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Affiliation(s)
- Vera de Vreugt
- Research Student, Department of Oral and Maxillofacial Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
| | - Jungwhan John Choi
- Assistant Professor, University of Cincinnati, Cincinnati, OH; Pediatric Radiologist, Fetal Care Center, Cincinnati Children's Hospital, Cincinnati, OH
| | - Ryan M Caprio
- Clinical Research Specialist, Department of Plastic & Oral Surgery, Boston Children's Hospital, Boston, MA
| | - Snigdha Jindal
- Assistant Professor, University of Cincinnati, Cincinnati, OH; Pediatric Radiologist, Fetal Care Center, Cincinnati Children's Hospital, Cincinnati, OH
| | - Maarten J Koudstaal
- Research Student, Department of Oral and Maxillofacial Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
| | - Judy A Estroff
- Associate Professor, Harvard Medical School, Boston, MA; Pediatric Radiologist, Department of Radiology, Boston Children's Hospital, Boston, MA
| | - Cory M Resnick
- Associate Professor of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine and Harvard Medical School, Boston, MA; Oral and Maxillofacial Surgeon, Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, MA.
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Koren N, Shust-Barequet S, Weissbach T, Raviv O, Abu Snenh S, Abraham E, Cahan T, Eisenberg V, Yulzari V, Hadi E, Adamo L, Mazaki Tovi S, Achiron R, Kivilevitch Z, Weisz B, Kassif E. Fetal Micro and Macroglossia: Defining Normal Fetal Tongue Size. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2023; 42:59-70. [PMID: 35396717 DOI: 10.1002/jum.15983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Revised: 02/25/2022] [Accepted: 03/08/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVES Abnormal fetal tongue size is a phenotypic feature of various syndromes including Beckwith-Wiedemann, Pierre-Robin, oromandibular limb hypoplasia, chromosomal aberrations, etc. Current data regarding normal fetal tongue size are limited. Hence, micro/macroglossia are subjectively determined. The aim of the study was to construct a contemporary fetal tongue nomogram and to assess its clinical contribution. METHODS A prospective cross-sectional study was performed in well dated, low risk, singleton pregnancies. Fetal tongues were measured by 5 trained sonographers. Highest quality images were selected. Intra- and interobserver variability was assessed. Tongue length, width, area, and circumference 1st to 99th centiles were calculated for each gestational week. Based on the normal tongue size charts, we created a Tongue Centile Calculator. RESULTS Over 18 months, 664 tongue measurements were performed. A cubic polynomial regression model best described the correlation between tongue size and gestational age. The correlation coefficient (r2 ) was 0.934, 0.932, 0.925, and 0.953 for tongue length, width, area, and circumference, respectively (P < .001). Intra- and interobserver variability had high interclass correlation coefficients (>0.9). Using the new charts, we were able to identify 2 cases of macroglossia, subsequently diagnosed with Beckwith-Wiedemann, and 4 cases of microglossia, 3 associated with Pierre-Robin sequence, and 1 associated with persistent buccopharyngeal membrane. CONCLUSIONS We present novel fetal tongue size charts from 13 to 40 weeks of gestation. Clinical application of these nomograms may be beneficial in the prenatal diagnosis of syndromes or malformations associated with abnormal fetal tongue size.
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Affiliation(s)
- Natalie Koren
- Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shir Shust-Barequet
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Tal Weissbach
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Oshrat Raviv
- Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Samar Abu Snenh
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Efrat Abraham
- Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Tal Cahan
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Vered Eisenberg
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Vered Yulzari
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Efrat Hadi
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Laura Adamo
- Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel
- Department of Obstetrics and Gynecology, IRCCS Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy
| | - Shali Mazaki Tovi
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Reuven Achiron
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Zvi Kivilevitch
- Women's Ultrasound Unit, Maccabi Health Services, Negev Medical Center, Beer-Sheva, Israel
| | - Boaz Weisz
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
| | - Eran Kassif
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- Diagnostic Ultrasound Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Institute of Obstetrical and Gynecological Imaging, Tel-Hashomer, Ramat Gan, Israel
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7
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Mandibular Distraction Osteogenesis in Robin Sequence Using Three-Dimensional Analysis and Planning. Plast Reconstr Surg 2022; 149:962e-965e. [PMID: 35286287 DOI: 10.1097/prs.0000000000009047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
SUMMARY The optimal management of patients with Robin sequence may include neonatal mandibular distraction osteogenesis, which has been used to achieve excellent functional and aesthetic outcomes in appropriate patients. This article and video vignette depict the treatment of micrognathia and airway obstruction secondary to Robin sequence, demonstrating the planning and surgical approach of the senior author (D.M.S.) using mandibular distraction osteogenesis.
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8
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Masselli G, Cozzi D, Ceccanti S, Laghi F, Giancotti A, Brunelli R. Fetal body MRI for fetal and perinatal management. Clin Radiol 2021; 76:708.e1-708.e8. [PMID: 34112509 DOI: 10.1016/j.crad.2021.05.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 05/05/2021] [Indexed: 12/19/2022]
Abstract
Fetal magnetic resonance imaging (MRI) has become a valuable adjunct to ultrasound (US) in diagnosing fetal abnormalities. This review is intended to highlight the contribution of MRI in parental counselling and perinatal treatment. A state-of-the-art fetal MRI protocol with experts of maternal-fetal medicine present in the MRI suite allows emphasis on patient-centred care and maximises therapeutic options.
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Affiliation(s)
- G Masselli
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy.
| | - D Cozzi
- Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy
| | - S Ceccanti
- Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy
| | - F Laghi
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy
| | - A Giancotti
- Department of Gynecological, Obstetrical, and Urological Sciences, Sapienza University, Rome, Italy
| | - R Brunelli
- Department of Gynecological, Obstetrical, and Urological Sciences, Sapienza University, Rome, Italy
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9
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Resnick CM, Kooiman TD, Calabrese CE, Zurakowski D, Padwa BL, Koudstaal MJ, Estroff JA. An algorithm for predicting Robin sequence from fetal MRI. Prenat Diagn 2018; 38:357-364. [DOI: 10.1002/pd.5239] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Revised: 02/09/2018] [Accepted: 02/13/2018] [Indexed: 12/18/2022]
Affiliation(s)
- Cory M. Resnick
- Oral and Maxillofacial Surgery; Harvard School of Dental Medicine and Harvard Medical School; Boston MA USA
- Oral and Maxillofacial Surgeon; Department of Plastic and Oral Surgery, Boston Children's Hospital; Boston MA USA
| | | | - Carly E. Calabrese
- Department of Plastic and Oral Surgery; Boston Children's Hospital; Boston MA USA
| | - David Zurakowski
- Departments of Anesthesia and Surgery; Boston Children's Hospital, Harvard Medical School; Boston MA USA
| | - Bonnie L. Padwa
- Oral and Maxillofacial Surgery; Harvard School of Dental Medicine and Harvard Medical School; Boston MA USA
- Oral and Maxillofacial Surgeon; Department of Plastic and Oral Surgery, Boston Children's Hospital; Boston MA USA
| | - Maarten J. Koudstaal
- Department of Oral and Maxillofacial Surgery; Erasmus Medical Center; Rotterdam The Netherlands
| | - Judy A. Estroff
- Harvard Medical School; Boston MA USA
- Fetal-Neonatal Imaging, Department of Radiology, Advanced Fetal Care Center; Boston Children's Hospital; Boston MA USA
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