Management of cleft palate among patients with Pierre Robin sequence

Chunyi Wang; Bing Shi; Jingtao Li

doi:10.1016/j.bjoms.2023.06.003

Management of cleft palate among patients with Pierre Robin sequence

Br J Oral Maxillofac Surg. 2023 Sep;61(7):475-481. doi: 10.1016/j.bjoms.2023.06.003. Epub 2023 Jun 20.

Authors

Chunyi Wang¹, Bing Shi¹, Jingtao Li²

Affiliations

¹ State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China.
² State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, PR China. Electronic address: lijingtao86@163.com.

PMID: 37453893
DOI: 10.1016/j.bjoms.2023.06.003

Abstract

Pierre Robin Sequence (PRS) is a congenital craniofacial anomaly distinguished by the presence of micrognathia, glossoptosis, and upper airway obstruction. Cleft palate occurs in over 3/4 of patients with PRS. The wide U-shape cleft and airway dysfunction create challenges in clinical management. Currently, disputes exist on the treatment protocol and prognosis of cleft palate management among patients with PRS. This review is focused on the deformity features, intervention timing, technique selection, airway support, and outcome evaluation of cleft palate among patients with PRS, aiming to provide reference to further evolution in the management of PRS-related cleft palate.

Keywords: Airway obstruction; Cleft palate; Growth; Speech; Surgical management.

Publication types

Review

MeSH terms

Airway Obstruction* / etiology
Airway Obstruction* / surgery
Cleft Palate* / complications
Cleft Palate* / surgery
Humans
Outcome Assessment, Health Care
Pierre Robin Syndrome* / complications
Pierre Robin Syndrome* / surgery
Prognosis