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Robin sequence: A European survey on current practice patterns.

Manouk J S van Lieshout1, Koen F M Joosten2, Irene M J Mathijssen3

  • 1Department of Oral and Maxillofacial Surgery, Erasmus Medical Center, Room D-210, 3000 CA Rotterdam, The Netherlands.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|August 29, 2015
PubMed
Summary

This study reveals significant variations in Robin sequence (RS) diagnosis and treatment across Europe. Establishing unified national and international guidelines is crucial for improving patient care.

Keywords:
DiagnosisEuropeRobin sequenceSurveyTreatment

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Area of Science:

  • Medical Research
  • Pediatric Care
  • Genetics

Background:

  • Robin sequence (RS) is a congenital condition characterized by micrognathia, glossoptosis, and airway obstruction.
  • Current management of RS patients in Europe lacks standardized protocols, leading to practice variations.

Purpose of the Study:

  • To survey European clinicians regarding current practice patterns in the definition, diagnosis, treatment, and follow-up of Robin sequence (RS).
  • To identify variations in RS management across different European countries.

Main Methods:

  • An online survey was distributed to European clinicians involved in RS patient care.
  • Data collected included respondent/clinic characteristics, RS definitions, diagnostic methods (sleep studies, endoscopy), and treatment strategies (airway management, surgical interventions).

Main Results:

  • Surveys from 101 European clinics showed 56 different definitions of RS.
  • Sleep study systems (72%) and flexible endoscopy (63%) were commonly used for diagnosis.
  • Treatment varied significantly, with prone positioning (63%) for mild obstruction and nasopharyngeal airway (62%) as common interventions. Mandibular distraction was frequent for severe obstruction.
  • Catch-up growth was reported in three-quarters of patients.

Conclusions:

  • This survey highlights considerable heterogeneity in Robin sequence definition and management across Europe.
  • The establishment of national and international guidelines is recommended to optimize care for RS patients.