Nikita Rajaraman Rajaraman, Elvino Barreto
An 18-month-old male with Pierre Robin Sequence (PRS) presented to A&E with airway obstruction and hypoxia due to retroglossoptosis. The patient was resuscitated immediately and intubated. Gold standard treatment was surgical management by mandibular distraction osteogenesis. However, as the patient was unable to afford the surgery, a simpler and cheaper surgical technique had to be employed. The procedure involved pulling the base of the tongue anteriorly and tying to the hyoid bone. This maintained airway patency and patient was extubated. Mother was given feeding and positioning advice for the child. It is expected that the mandibular growth will eventually catch up with the tongue growth.