Feeding Update for Neonates With Pierre Robin Sequence Treated With Mandibular Distraction

Pierre Robin sequence (PRS) and the associated anatomical and functional issues have been well documented in literature. Treatment of neonates born with PRS varies depending on the severity of their respiratory status and their inability to orally feed. The purpose of this article is to discuss PRS and to describe the Cincinnati Children's Hospital Medical Center integrated team approach in assessing and evaluating the infants' ability to maintain a functional respiratory system, orally feed, and support appropriate weight gain. The focus on neonatal mandibular distraction is described because of the recent success in airway correction for the neonatal population. A primary focus on the current clinical protocol used at Cincinnati Children's Hospital Medical Center to evaluate and treat oral feeding before, during, and after neonatal mandibular distraction will be presented. This article highlights the need for future research to establish evidence-based practice guidelines for oral feeding with this neonatal population.