What classifies a baby w/ prs? 3 mos. Old has cleft soft palate seen at hosp 4 would of told me prs?
Need doctor's exam. The pierre robin sequence (prs) is diagnosed by a physician trained in classifying such abnormalities, and based on the presence, at birth, of a u-shaped cleft palate, small jaw with a receding chin, and a tongue that appears big (because of the small jaw) and is bent towards the throat. Often, an eye exam and a genetic study are done to check for stickler and velocardiofacial syndrome as well.
These criteria: Pierre-robin sequence (pronounced "roban") is usually diagnosed at birth or shortly after. Lower jaw is 10-12mm (1/2 inch) shorter than it should be, and tongue is displaced to the back. Most cases show cleft palate, needing surgery. Feeding & breathing difficulties and ear infections are common. Some cases are milder than others. The lower jaw size sometimes catches up to normal by age 5-6.
Lable is a variable. Early ideas suggest prs arose from a fetal head flexed forward, impeding jaw growth & leaving the tongue in the way of fetal palate closure (u shaped defect).Airway pbs may not show at birth but postnatal growth increases jaw size & weight.If it drops into the airway when baby is supine it completes the trilogy.Sequence implys variability & some apply it to all short jaw kids if airwar pbs occur.