The combination of micrognathia and cleft palate may be part of Pierre Robin\u00a0sequence or part of a more complex syndrome. Simple Pierre Robin sequence will improve with growth and any airway obstruction\u00a0has usually resolved by 9 months. We use a nasopharygeal airway to manage airway obstruction during this 9 month period. Usually the NPA remains in-situ 24\/7 for 3 months, and the child is exclusively\u00a0NG fed. At 3 months we resize the NPA and re-study with overnight polygraphy. There may be an opportunity from 3 months to remove the NPA for short periods during the day, and to potentially start feeding by mouth during these periods. At 6 months we re-study with overnight polygraphy and aim to remove the NPA for the daytime thereafter. At 9 months we re-study with overnight polygraphy with the NPA removed. We re-study on one further occasion after the cleft is repaired.<\/p>\n
Cleft Palate South Wales Management Pathway 2026 can be found here<\/a>. The combination of micrognathia and cleft palate may be part of Pierre Robin\u00a0sequence or part of a more complex syndrome. Simple Pierre Robin sequence will improve with growth and any airway obstruction\u00a0has usually resolved by 9 months. We use a nasopharygeal airway to manage airway obstruction during this 9 month period. Usually the NPA remains […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","footnotes":""},"class_list":["post-2073","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.uhwchildren.com\/respiratory\/wp-json\/wp\/v2\/pages\/2073","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uhwchildren.com\/respiratory\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.uhwchildren.com\/respiratory\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.uhwchildren.com\/respiratory\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uhwchildren.com\/respiratory\/wp-json\/wp\/v2\/comments?post=2073"}],"version-history":[{"count":5,"href":"https:\/\/www.uhwchildren.com\/respiratory\/wp-json\/wp\/v2\/pages\/2073\/revisions"}],"predecessor-version":[{"id":2817,"href":"https:\/\/www.uhwchildren.com\/respiratory\/wp-json\/wp\/v2\/pages\/2073\/revisions\/2817"}],"wp:attachment":[{"href":"https:\/\/www.uhwchildren.com\/respiratory\/wp-json\/wp\/v2\/media?parent=2073"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nGuidelines for the management of NPA can be found here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"