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Facial, lingual, and pharyngeal electromyography in infants with Pierre Robin sequence
Author(s) -
Renault Francis,
Baudon JeanJacques,
Galliani Eva,
FloresGuevara Roberto,
Marlin Sandrine,
Garabedian Erea Noel,
Vazquez MariePaule
Publication year - 2011
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.21991
Subject(s) - electromyography , swallowing , medicine , pierre robin syndrome , tongue , facial muscles , soft palate , pharyngeal muscles , facial electromyography , anatomy , anesthesia , physical medicine and rehabilitation , surgery , pathology
We evaluated the role of electromyography (EMG) in assessing orofacial neurological dysfunction in 81 infants with Pierre Robin sequence (PRS). Methods : Needle EMG of muscles of the face, tongue, and soft palate, and blink responses were recorded. A two‐channel EMG recorded sucking and swallowing during bottle feeding. Results : Neurogenic EMG signs were detected in facial or oral muscles in 17 of 24 associated PRS and 1 of 57 isolated PRS cases ( P < 0.0001). Soft palate muscles showed low‐amplitude traces in 41.4% of patients who required two surgical steps for cleft palate repair and 18.5% of those who required only one step. Regarding EMG study during bottle feeding, patients with moderate or severe abnormalities of oral/pharyngeal coordination required more prolonged enteral feeding than patients with mild abnormalities or normal coordination ( P = 0.002). Conclusion : Combined EMG methods were useful in the treatment of infants with PRS. EMG detection of cranial nerve involvement strongly suggests an associated form of PRS. Muscle Nerve, 2011