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Tongue–lip adhesion and tongue repositioning for obstructive sleep apnoea in Pierre Robin sequence: A systematic review and meta-analysis

Published online by Cambridge University Press:  14 February 2017

M Camacho ,
M W Noller ,
S Zaghi ,
L K Reckley ,
C Fernandez-Salvador ,
E Ho ,
B Dunn  and
D K Chan
M Camacho*
Affiliation:
Division of Otolaryngology, Sleep Surgery and Sleep Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA Department of Psychiatry and Behavioral Sciences, Division of Sleep Surgery and Medicine, Stanford Hospital and Clinics, Redwood City, California, USA
M W Noller
Affiliation:
School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
S Zaghi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Division of Sleep Surgery and Medicine, Stanford Hospital and Clinics, Redwood City, California, USA
L K Reckley
Affiliation:
Division of Otolaryngology, Sleep Surgery and Sleep Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA
C Fernandez-Salvador
Affiliation:
Division of Otolaryngology, Sleep Surgery and Sleep Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA
E Ho
Affiliation:
John A Burns School of Medicine, University of Hawaii, Honolulu, USA
B Dunn
Affiliation:
University of California Irvine Medical Center, San Francisco, Orange
D K Chan
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Division of Pediatric Otolaryngology, University of California, San Francisco, USA
*
Address for correspondence: Dr Macario Camacho, Tripler Army Medical Center, Division of Otolaryngology and Sleep Medicine, 1 Jarrett White Rd, Honolulu, HI 96859, USA Fax: +1 808 433 9033 E-mail: drcamachoent@yahoo.com
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Abstract

Objective:

To search for studies on tongue–lip adhesion and tongue repositioning used as isolated treatments for obstructive sleep apnoea in children with Pierre Robin sequence.

Methods:

A systematic literature search of PubMed/Medline and three additional databases, from inception through to 8 July 2016, was performed by two authors.

Results:

Seven studies with 90 patients (59 tongue–lip adhesion and 31 tongue repositioning patients) met the inclusion criteria. Tongue–lip adhesion reduced the mean (± standard deviation) apnoea/hypopnoea index from 30.8 ± 22.3 to 15.4 ± 18.9 events per hour (50 per cent reduction). The apnoea/hypopnoea index mean difference for tongue–lip adhesion was −15.28 events per hour (95 per cent confidence interval = −30.70 to 0.15; p = 0.05). Tongue–lip adhesion improved the lowest oxygen saturation from 75.8 ± 6.8 to 84.4 ± 7.3 per cent. Tongue repositioning reduced the apnoea/hypopnoea index from 46.5 to 17.4 events per hour (62.6 per cent reduction). Tongue repositioning improved the mean oxygen saturation from 90.8 ± 1.2 to 95.0 ± 0.5 per cent.

Conclusion:

Tongue–lip adhesion and tongue repositioning can improve apnoea/hypopnoea index and oxygenation parameters in children with Pierre Robin sequence and obstructive sleep apnoea.

Keywords

Sleep ApneaObstructivePierre Robin SyndromeTongueSurgical ProceduresOperative
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 5 , May 2017 , pp. 378 - 383
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Reddy, VS. Evaluation of upper airway obstruction in infants with Pierre Robin sequence and the role of polysomnography–review of current evidence. Paediatr Respir Rev 2016;17:80–7Google Scholar
2 Camacho, M, Capasso, R, Schendel, S. Airway changes in obstructive sleep apnoea patients associated with a supine versus an upright position examined using cone beam computed tomography. J Laryngol Otol 2014;128:824–30Google Scholar
3 Siddique, S, Haupert, M, Rozelle, A. Subperiosteal release of the floor of the mouth musculature in two cases of Pierre Robin sequence. Ear Nose Throat J 2000;79:816–19CrossRefGoogle ScholarPubMed
4 Moher, D, Liberati, A, Tetzlaff, J, Altman, DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009;6:e1000097 CrossRefGoogle ScholarPubMed
5 National Institute for Health and Clinical Excellence. Methods for Development of NICE Public Health Guidance. London: National Institute for Health and Clinical Excellence, 2009 Google Scholar
6 Review Manager (RevMan) [computer program], version 5.3. Copenhagen: Nordic Cochrane Centre, Cochrane Collaboration, 2014 Google Scholar
7 Cohen, J. Statistical Power Analysis for the Behavioral Sciences, 2nd edn. Hillsdale, NJ: Erlbaum, 1988 Google Scholar
8 Higgins, JP, Thompson, SG, Deeks, JJ, Altman, DG. Measuring inconsistency in meta-analyses. BMJ 2003;327:557–60Google Scholar
9 Lau, J, Ioannidis, JP, Schmid, CH. Quantitative synthesis in systematic reviews. Ann Intern Med 1997;127:820–6Google Scholar
10 Flores, RL, Tholpady, SS, Sati, S, Fairbanks, G, Socas, J, Choi, M et al. The surgical correction of Pierre Robin sequence: mandibular distraction osteogenesis versus tongue-lip adhesion. Plast Reconstr Surg 2014;133:1433–9CrossRefGoogle ScholarPubMed
11 Freed, G, Pearlman, MA, Brown, AS, Barot, LR. Polysomnographic indications for surgical intervention in Pierre Robin sequence: acute airway management and follow-up studies after repair and take-down of tongue-lip adhesion. Cleft Palate J 1988;25:151–5Google Scholar
12 Sedaghat, AR, Anderson, IC, McGinley, BM, Rossberg, MI, Redett, RJ, Ishman, SL. Characterization of obstructive sleep apnea before and after tongue-lip adhesion in children with micrognathia. Cleft Palate Craniofac J 2012;49:21–6CrossRefGoogle ScholarPubMed
13 Greathouse, ST, Costa, M, Ferrera, A, Tahiri, Y, Tholpady, SS, Havlik, RJ et al. The surgical treatment of Robin sequence. Ann Plast Surg 2016;77:413–19CrossRefGoogle ScholarPubMed
14 Resnick, CM, Dentino, K, Katz, E, Mulliken, JB, Padwa, BL. Effectiveness of tongue-lip adhesion for obstructive sleep apnea in infants with Robin sequence measured by polysomnography. Cleft Palate Craniofac J 2016;53:584–8Google Scholar
15 Caouette-Laberge, L, Borsuk, DE, Bortoluzzi, PA. Subperiosteal release of the floor of the mouth to correct airway obstruction in Pierre Robin sequence: review of 31 cases. Cleft Palate Craniofac J 2012;49:14–20 Google Scholar
16 Caouette-Laberge, L, Plamondon, C, Larocque, Y. Subperiosteal release of the floor of the mouth in Pierre Robin sequence: experience with 12 cases. Cleft Palate Craniofac J 1996;33:468–72Google Scholar