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  
PubMed ID Author / Year Patient Group Study type
(level of evidence)
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 (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 Georgiana S. Gross, MPH
Faculty mentor 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?)
None available
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs)
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.