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Updated: May 26, 2025

Novel Sequence Discovery by Subtractive Genomics
Published on: January 25, 2019
A Comprehensive Approach to Robin Sequence
Sameer Shakir1, Catharine B Garland2
1Department of Plastic Surgery, Plastic and Reconstructive Surgery, Medical College of Wisconsin, 9000 West Wisconsin Avenue, Suite 340, Milwaukee, WI 53202, USA.
Insights
Robin sequence, a congenital condition causing airway obstruction, is managed by a multidisciplinary team. Treatments range from conservative measures to surgical interventions like mandibular distraction osteogenesis to avoid tracheostomy.
Area of Science:
- Pediatric Medicine
- Otolaryngology
- Genetics
Background:
- Robin sequence is a congenital condition characterized by micrognathia, glossoptosis, and airway obstruction.
- It may occur with or without a cleft palate.
- Effective management requires a multidisciplinary approach for complex pediatric airway issues.
Purpose of the Study:
- To outline the multidisciplinary management strategies for Robin sequence.
- To describe conservative and interventional treatment options.
- To highlight the goal of avoiding tracheostomy in severe cases.
Main Methods:
- Conservative management includes prone positioning, nasopharyngeal airways, oxygen, and feeding support.
- Surgical interventions involve tongue-lip adhesion for anterior tongue repositioning.
- Nonsurgical techniques like orthodontic airway plates are also utilized.
- Mandibular distraction osteogenesis is reserved for severe cases.
Main Results:
- Conservative measures aim to maintain a patent airway and support infant growth.
- Surgical and nonsurgical interventions reposition the tongue to alleviate airway obstruction.
- Mandibular distraction osteogenesis is effective in severe cases, potentially avoiding tracheostomy.
Conclusions:
- Robin sequence necessitates a comprehensive, multidisciplinary team approach.
- A spectrum of treatments, from conservative to surgical, is available.
- The primary goal is to ensure airway patency and support infant development, avoiding tracheostomy when possible.
Abstract:
Robin sequence is a congenital condition characterized by micrognathia, glossoptosis, and airway obstruction with or without cleft palate. The condition is best managed by a multidisciplinary team proficient in treating the complex pediatric airway, including pediatricians, speech and feeding specialists, and surgeons. Conservative treatment includes prone positioning, nasopharyngeal airways, supplemental oxygen, and feeding support to maintain a patent airway and promote infant growth. For infants requiring further intervention, the tongue may be repositioned anteriorly through surgical tongue-lip adhesion or nonsurgical techniques including the orthodontic airway plate. Mandibular distraction osteogenesis is used in severe cases with the goal to avoid tracheostomy.
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