Modified feeding plate for a one-month-old infant with Pierre Robin sequence: A case report

Abstract

Pierre robin sequence is characterized by the triad of mandibular micrognathia, ‘U’ shaped cleft palate, and glossoptosis. Infants with this condition usually present with airway obstruction and feeding difficulties. This in turn leads to low weight and nutritional deficiencies which might delay the surgical intervention for the same. This case report describes a one-month-old infant with Pierre Robin sequence presenting with feeding difficulty and nasal regurgitation due to a ‘U’ shaped cleft palate. Elastomeric impression followed by fabrication of feeding plate with auto-polymerizing resin was done. Additional ‘S-shaped’ retentive arms were provided from the intra-oral to extra-oral side wire to provide additional retention and to prevent injury to both the child and parent while feeding. Early insertion of a feeding plate helps to prevent nasal regurgitation, to gain weight, and to guide the growth of the mandible in a child with Pierre Robin Sequence.