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Jornal de Pediatria
On-line version ISSN 1678-4782
MARQUES, Ilza L. et al. Robin sequence: a single treatment protocol. J. Pediatr. (Rio J.) [online]. 2005, vol.81, n.1, pp. 14-22. ISSN 1678-4782. http://dx.doi.org/10.1590/S0021-75572005000100005.
OBJECTIVE: To present a single protocol that might cover both the respiratory and feeding difficulties of neonates and infants with Robin sequence. SOURCES OF DATA: The article was prepared on the basis of the most recent publications available in bibliographic databases and in books that discuss the treatment of Robin sequence, especially the studies conducted at the Hospital for Rehabilitation of Craniofacial Anomalies of Universidade de São Paulo (HRAC/USP). SUMMARY OF THE FINDINGS: We present the morphological and genetic aspects of Robin sequence and concepts about nasopharyngoscopy and its clinical implications; we discuss the treatment of respiratory and feeding difficulties, and we present a single protocol for the treatment of all Robin sequence cases regardless of their severity and complexity. CONCLUSIONS: Robin sequence is not only an anatomic obstructive disorder to be treated with surgical procedures, but knowledge about children's growth and development must be applied by a multidisciplinary team, since this permits the maintenance of airway permeability and of the ability to feed orally, often without the need of surgical procedures and their risks, especially when applied to neonates and small infants.
Keywords : Pierre Robin syndrome; cleft palate; airway obstruction; micrognathia.