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Related Experiment Videos

Airway management in Pierre Robin sequence

C M Myer1, J M Reed, R T Cotton

  • 1Department of Otolaryngology and Maxillofacial Surgery, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|May 20, 1998
PubMed
Summary
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Management of airway obstruction in children with Pierre Robin sequence lacks consensus. Pediatric otolaryngology programs show varied practices, with tracheotomy often favored despite limited data, highlighting the need for evidence-based guidelines.

Area of Science:

  • Pediatric Otolaryngology
  • Sleep Medicine
  • Pediatric Surgery

Background:

  • Pierre Robin sequence frequently causes airway obstruction in infants.
  • Current long-term management strategies for this condition are controversial and lack standardized protocols.
  • Existing literature reflects a lack of consensus among specialists.

Purpose of the Study:

  • To survey current practice patterns in pediatric otolaryngology fellowship programs regarding airway obstruction in Pierre Robin sequence.
  • To identify methods for evaluating airway obstruction, home care choices, and treatment complications.
  • To highlight the discrepancies between clinical practice and scientific evidence.

Main Methods:

  • A survey was distributed to all 23 pediatric otolaryngology fellowship programs.

Related Experiment Videos

  • The survey addressed evaluation methods (e.g., polysomnography), home care after failed conservative treatment, and treatment modality complications.
  • Responses were analyzed to identify trends and variations in management approaches.

    • Main Results:

    • Significant variation in practice patterns was observed among the surveyed programs.
    • Tracheotomy was frequently reported as the preferred method for long-term airway management.
    • Decision-making often appeared influenced by emotional factors rather than solely by scientific data.

    Conclusions:

    • There is a notable lack of consensus in the long-term management of airway obstruction in Pierre Robin sequence.
    • Clinical practice is not consistently guided by robust scientific evidence.
    • Recommendations are provided to guide clinicians in evidence-based management of these complex pediatric cases.