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) 21464188 | Evans/2011 | | Review | | Key results | Several 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: |
09/22/2011 |
| E-mail |
Harrisan@livemail.uthscsa.edu |
| Author |
Ashley N. Harris |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Georgiana S. 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 | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS 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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