Related Experiment Video
Updated: Aug 12, 2026

Denver Papillae Protocol for Objective Analysis of Fungiform Papillae
Published on: June 8, 2015
Rule of thumb criteria for tongue-lip adhesion in Pierre Robin anomalad
Insights
Tongue-lip adhesion is recommended for Pierre Robin sequence infants failing nonoperative care. This intervention is advised if babies don't gain strength and weight within 7 days or can't be extubated after 3 days.
Area of Science:
- Pediatric surgery
- Craniofacial anomalies
- Neonatal care
Background:
- Pierre Robin sequence is a congenital condition characterized by micrognathia, glossoptosis, and airway obstruction.
- Management of Pierre Robin sequence often involves conservative measures before surgical intervention.
Purpose of the Study:
- To establish clear criteria for performing tongue-lip adhesion in infants with Pierre Robin sequence.
- To guide the timing of surgical intervention in the conservative management of this condition.
Main Methods:
- Review of 38 cases of Pierre Robin sequence.
- Analysis of outcomes following nonoperative intensive care.
Main Results:
- Identified specific indicators for intervention.
- Tongue-lip adhesion is indicated if infants fail to achieve progressive weight and strength gain after 7 days of nonoperative care.
- Tongue-lip adhesion is also indicated if extubation is unsuccessful after 3 days.
Conclusions:
- Tongue-lip adhesion serves as a crucial next step in conservative management for select Pierre Robin sequence infants.
- These criteria aim to optimize patient outcomes and streamline treatment decisions.
Abstract:
Rule of thumb criteria for tongue-lip adhesion in the Pierre Robin anomalad have been formulated on the basis of a review of 38 cases. Babies with this anomalad who do not show a progressive gain in strength and weight after 7 days of nonoperative intensive care or who cannot be successfully extubated after 3 days should have a tongue-lip adhesion as the next step in conservative management.
Related Concept Videos
Assessment of the Mouth
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Surface Appendages of Archaea

