Abstract | BACKGROUND: METHODS: A 22-question survey was sent via e-mail to members of the American Cleft Palate-Craniofacial Association and International Society of Craniofacial Surgeons. Questions were related to surgeon experience in treating neonates with Robin sequence, and specific perioperative protocols. RESULTS: One hundred fifty-one responses were collected. Most respondents were surgeons practicing in North America(82.8%), in a university hospital setting (81.5%) and had completed a fellowship in pediatric plastic surgery or craniofacial surgery (76.2%). Preoperative protocols varied widely by years in training and location of practice. Although 78.8% of respondents always performed direct laryngoscopy, only 49.7% of respondents routinely obtained preoperative polysomnography. Mandibular distraction osteogenesis was the most common primary surgical airway intervention reported by 74.2%, with only 12.6% primarily utilizing tongue-lip adhesion. Slightly less than half of respondents ever performed tongue-lip adhesion. Operative selection was influenced by surgeon experience, with 80% of those in practice 0-5 years primarily utilizing mandibular distraction, compared with 56% of respondents in practice >15 years. CONCLUSIONS: This study documents wide variations in preoperative, operative, and postoperative protocols for the surgical airway management of neonates with severe Robin sequence. These results underscore the need to acquire more objective data, to compare different protocols and outcome measures.
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Authors | Kenneth L Fan, Max Mandelbaum, Justin Buro, Alex Rokni, Gary F Rogers, Jerry W Chao, Albert K Oh |
Journal | Plastic and reconstructive surgery. Global open
(Plast Reconstr Surg Glob Open)
Vol. 6
Issue 11
Pg. e1973
(Nov 2018)
ISSN: 2169-7574 [Print] United States |
PMID | 30881787
(Publication Type: Journal Article)
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