Pierre Robin sequence in a neonate with suckling difficulty and weight loss
The Journal of the American Osteopathic Association
In this case report, Academy members Jeffery Summers, OMS IV; Jacob Ludwig, OMS IV; and David Kanze, DO, describe using osteopathic manipulative treatment to alleviate breathing, suckling and latching difficulties that a 15-day-old newborn with Pierre Robin sequence (PRS) was having. On osteopathic examination, the newborn was found to have a sphenobasilar synchondrosis compression, left occipitomastoid (OM) suture compression, tight left sternocleidomastoid, sacroiliac joint restricted on the left, and a left in-flare of the innominate. Osteopathic cranial manipulative medicine was used to treat the newborn’s sacrum, OM suture, and sphenobasilar synchondrosis compression, while balanced ligamentous tension was used to treat the newborn’s sternocleidomastoid and pelvis. At the end of the treatment, the newborn’s sucking had improved and his breathing had become less labored. At a follow-up appointment 3 weeks later, the mother reported that the newborn had gained 1 pound, grown 2.5 inches, and was eating better with less effort and longer time to fatigue. The authors believe that this is the first time that OMT has been reported in the literature as a treatment for patients with PRS. (This is an abstract. To view the full article, you will need to log in using your standard AOA username and password.)
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