ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Management Of Infants With Pierre Robin Sequence
Clinical Question What is the treatment sequence for an infant with Pierre Robins Sequence?
Clinical Bottom Line Initial management of Pierre Robins Sequence should focus on upper airway obstruction and feeding difficulties. These main problems can be treated both non-surgically and/or surgically. Patients then should be followed by the craniofacial team throughout remaining growth and development to sequence remaining treatment.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 21464188Evans/2011Review
Key resultsSeveral management protocols have been presented, but currently, there is no consensus about indications, efficacy, or risks.
Evidence Search "Pierre Robin Syndrome/therapy"[Mesh] AND (Review[ptyp] AND infant[MeSH])
Comments on
The Evidence
This evidence is a good base review of treatment options available with a general treatment sequence.
Applicability This article is an informative overview of the disease mechanism and treatment options for the practitioner who encounters a patient with Pierre Robins Sequence.
Specialty/Discipline (Public Health) (Oral Surgery) (Pediatric Dentistry)
Keywords Pierre Robin Syndrome, airway obstruction
ID# 2148
Date of submission: 09/22/2011spacer
E-mail Harrisan@livemail.uthscsa.edu
Author Ashley N. Harris
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Georgiana Gross, MPH
Faculty mentor/Co-author e-mail GROSSG@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
post a comment
by Angela Huynh and Jaci Wulfjen (San Antonio, TX) on 11/30/2017
A PubMed search performed November 2017 found Khansa, 2017 (PMID 28350680) confirms the original conclusions made in this CAT; that RS management should be individualized. This study further supports by concluding no significant differences in the success of treatment between tongue-lip adhesion, mandibular distraction, or conservative management.
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