Determining an optimal management strategy for upper airway obstruction in Pierre Robin sequence.

Sherri Lynne Katz

doi:10.1155/2015/959686

Abstract

Determining an optimal management strategy for upper airway obstruction in Pierre Robin sequence.

Highlights

There are, limitations to the data obtained from this study, which preclude its use to confidently predict optimal treatment for an individual
Most children underwent PSG at a later age. Of those who underwent PSG, CPAP was used in a higher proportion of patients than other treatments and one-quarter required no further intervention. This suggests that CPAP – a less invasive treatment than tracheostomy and other surgical treatments – can be initiated and its impact evaluated during the course of PSG
Perhaps earlier PSG in this population would result in more CPAP treatment initiation and success in a greater proportion of patients, a strategy used in other case series [1,2]

Summary

Introduction

There are, limitations to the data obtained from this study, which preclude its use to confidently predict optimal treatment for an individual. A second challenge in the interpretation of these results relates to the utility of polysomnography (PSG), indicated by Kam et al as important to guide clinical decision making. Very few patients underwent PSG, making it difficult to draw conclusions on the value of such testing.

Results

Conclusion