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Cleft palate surgery and speech outcomes in children with Robin sequence

Curtis Budden1, Loredana Cuglietta2, Amir Sadri3

  • 1Division of Plastic Surgery, Faculty of Medicine and Dentistry, University of Alberta, Canada.

Paediatric Respiratory Reviews
|February 27, 2025
PubMed

Insights

Robin sequence (RS) affects 1:8,500–20,000 births, causing micrognathia, glossoptosis, and airway issues. This review focuses on surgical cleft palate treatment and speech outcomes in children with RS.

Area of Science:

  • Craniofacial surgery
  • Pediatric otolaryngology
  • Speech pathology

Background:

  • Robin sequence (RS) is characterized by micrognathia, glossoptosis, and airway obstruction.
  • Incidence of RS varies widely, reported between 1:8,500 and 1:20,000 live births.
  • Despite medical advances, optimal treatment strategies for RS remain debated.

Purpose of the Study:

  • To review surgical management of cleft palate in patients with Robin sequence.
  • To evaluate speech outcomes following surgical interventions for Robin sequence.
  • To provide insights into the current treatment landscape for children with RS.

Main Methods:

  • Literature review of surgical techniques for cleft palate repair in RS.
  • Analysis of studies reporting speech and language development in RS patients.
  • Synthesis of current evidence on best practices for managing RS.

Main Results:

  • Surgical interventions for cleft palate in RS aim to improve feeding and speech.
  • Speech outcomes in RS patients are influenced by the severity of the condition and surgical success.
  • Multidisciplinary care is crucial for optimizing outcomes.

Conclusions:

  • Surgical treatment of cleft palate is a key component in managing Robin sequence.
  • Long-term speech and language monitoring is essential for children with RS.
  • Further research is needed to establish standardized treatment protocols for RS.

Keywords:
Cleft palateRobin sequenceSpeech

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