Treatment is carried out immediately after the birth of a child with the syndrome of Pierre Robin. If the disease is mild, then to improve the patient's condition, it is necessary to constantly keep the child upright or lying on the tummy. The head of the baby should be tilted to the chest. In the process of feeding it is not recommended to keep the child in a horizontal position, so that the food does not get into the respiratory tract.
If insufficient development of the lower part of the jaw is expressed quite strongly, surgical intervention is used to bring the sinking tongue to a normal physiological position. In severe cases, the tongue is tightened and fixed on the lower lip. In very severe cases it is necessary to carry out tracheostomy, glossopexy, distraction osteogenesis of the lower jaw.
Conservative treatment is also used.
Phenobarbital. Sleeping and sedative drug, it differs anticonvulsant effect. In each tablet is 100 ml of phenobarbital. Dosage is individual, as it depends on the severity of the disease and the condition of the child. Patients with hepatic insufficiency, hyperkinesis, anemia, myasthenia gravis, porphyria, diabetes mellitus, depression, intolerance to the components of the drug is prohibited. When taking the following symptoms are possible: dizziness, asthenia, hallucinations, agranulocytosis, nausea, low blood pressure, allergies.
Clonazepam. A drug that is prescribed for the treatment of epilepsy. The drug contains the active substance clonazepam, which is a derivative of benzodiazepine. It differs anticonvulsant, anxiolytic and miorelaksiruyuschim effect. The dose is established by the attending physician, but should not exceed the maximum - 250 mcg per day. Do not take with insomnia, muscle hypertonia, psychomotor agitation, panic disorder. When taking the following symptoms are possible: retardation, nausea, dysmenorrhea, headache, leukopenia, delay or incontinence, alopecia, allergy.
Sibazon. Produced in the form of a solution and rectal tablets. The active substance is a benzodiazepine derivative (sibazone). It differs sedative, anxiolytic, anticonvulsant effect. The dosage is individual. Patients with chronic hypercapnia, myasthenia gravis, intolerance to benzodiazepines to take the drug is prohibited. When using the drug, it is possible to develop such symptoms: nausea, constipation, headache, dizziness, hiccups, urinary incontinence, allergies.
Cortexin is a lyophilizate. The drug with nootropic effect. The drug contains a complex of polypeptide fractions soluble in water and glycine. Dosage is individual and is prescribed by the attending physician in accordance with the patient's condition. Patients with intolerance to cortexin should not take the drug. The product may cause allergic reactions.
As a rule, in the light stages of the syndrome, positional therapy is performed when the child is placed on the stomach in an upright position until gravity causes the lower part of the jaw to grow correctly.
Operative treatment is used, first of all, to correct glossoptosis. There are several methods:
- Support with a silver thread of the tongue. The thread is carried through the lower part of the gum and lower lip. The method is called Douglas.
- Duhamel's method - a thick silver thread is carried through the base of the patient's tongue and two cheeks. Use no longer than thirty days.
- Orthopedic devices for drawing and fixing the tongue.
- At the age of one year, an operation to eliminate the cleft in the sky can be performed.