Non-surgical and surgical interventions for airway obstruction in children with Robin Sequence. van Lieshout M.J.S., Joosten K.F.M., Mathijssen I.M.J., Koudstaal M.J., Wolvius E.B., & van der Schroeff M.P. 2016.
Non-surgical and surgical interventions for airway obstruction in children with Robin Sequence [link]Paper  abstract   bibtex   
There is widespread lack of consensus regarding treatment of airway obstruction in children with Robin Sequence. This study aimed to systematically summarize outcomes of non-surgical and surgical options to treat airway obstruction in children with Robin Sequence. The authors searched the Medline, EMBASE and CENTRAL databases. Studies primarily on mandibular distraction were excluded. Study quality was appraised with the Methodological Index for Non-Randomized Studies (MINORS) score. Forty-eight studies were included, of which 45 studies had a retrospective non-comparative set up, two studies had a prospective design and one study was a clinical trial. The mean MINORS score was 7.3 (range 3-10). The rates of successful relief of the airway obstruction (SRoAO) were: not available for orthodontic appliance (2 studies, n = 24), 67-100% for nasopharyngeal airway (6 studies, n = 126); 100 % for non-invasive respiratory support (2 studies, n = 12); 70-96% for tongue-lip adhesion (11 studies, n = 277); 50-84% for subperiosteal release of the floor of the mouth (2 studies, n = 47); 100% for mandibular traction (3 studies, n = 133); 100% for tracheostomy (1 study, n = 25). The complication rate ranged from zero to 55%. Although SRoAO rates seemed comparable, high-level evidence remains scarce. Future research should include description of the definition, treatment indication, and objective outcomes. Copyright © 2016 European Association for Cranio-Maxillo-Facial Surgery
@misc{van_lieshout_m.j.s._non-surgical_2016,
	title = {Non-surgical and surgical interventions for airway obstruction in children with {Robin} {Sequence}},
	url = {http://www.elsevier-international.com/journals/jcms/},
	abstract = {There is widespread lack of consensus regarding treatment of airway obstruction in children with Robin Sequence. This study aimed to systematically summarize outcomes of non-surgical and surgical options to treat airway obstruction in children with Robin Sequence. The authors searched the Medline, EMBASE and CENTRAL databases. Studies primarily on mandibular distraction were excluded. Study quality was appraised with the Methodological Index for Non-Randomized Studies (MINORS) score. Forty-eight studies were included, of which 45 studies had a retrospective non-comparative set up, two studies had a prospective design and one study was a clinical trial. The mean MINORS score was 7.3 (range 3-10). The rates of successful relief of the airway obstruction (SRoAO) were: not available for orthodontic appliance (2 studies, n = 24), 67-100\% for nasopharyngeal airway (6 studies, n = 126); 100 \% for non-invasive respiratory support (2 studies, n = 12); 70-96\% for tongue-lip adhesion (11 studies, n = 277); 50-84\% for subperiosteal release of the floor of the mouth (2 studies, n = 47); 100\% for mandibular traction (3 studies, n = 133); 100\% for tracheostomy (1 study, n = 25). The complication rate ranged from zero to 55\%. Although SRoAO rates seemed comparable, high-level evidence remains scarce. Future research should include description of the definition, treatment indication, and objective outcomes. Copyright © 2016 European Association for Cranio-Maxillo-Facial Surgery},
	journal = {Journal of Cranio-Maxillofacial Surgery},
	author = {{van Lieshout M.J.S.} and {Joosten K.F.M.} and {Mathijssen I.M.J.} and {Koudstaal M.J.} and {Wolvius E.B.} and {van der Schroeff M.P.}},
	year = {2016},
	keywords = {*Pierre Robin syndrome, *airway obstruction, *airway obstruction/su [Surgery], *airway obstruction/th [Therapy], Child, Embase, Medline, adhesion, article, assisted ventilation, home care, human, mandible, mandibular traction, mouth floor, nasopharynx airway, oral surgery, orthodontic device, positive end expiratory pressure, randomized controlled trial(topic), respiratory tract intubation, surgery, systematic review, tongue, tongue lip adhesion surgery, tracheostomy, traction therapy}
}

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