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) |
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 |
(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 | |
|
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. | |