Differences in analysis and treatment of upper airway obstruction in Robin sequence across different countries in Europe

Sullivan, Nathaniel A T; Smit, Jan; Lachkar, Nadia; Logjes, Robrecht J. H.; Kruisinga, Frea; Reinert, Siegmar; Persson, Martin; Davies, Gareth; Breugem, Corstiaan C.

doi:10.1007/s00431-022-04781-5

Eur J Pediatr

2023

DOI: 10.1007/s00431-022-04781-5

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Differences in analysis and treatment of upper airway obstruction in Robin sequence across different countries in Europe

Nathaniel A T Sullivan

Jan Smit

Nadia Lachkar

et al.

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2024

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Cited by 2 publications

References 48 publications

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Translatability of Craniofacial Devices into Low-Middle Income Countries: A Systematic Review

Chaij,

Tin,

Nguyen

et al. 2024

FACE

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Introduction/Purpose: Globally, craniofacial surgery is limited due to disparities in expertise and resources. Lack of treatment results in a negative impact on function, development, and social stigma, increasing the burden of disability-adjusted life years in low- and middle-income countries (LMIC). A systematic review was performed to evaluate craniofacial surgeries requiring craniofacial devices and their translation into LMICs. Materials/Methods: A systematic review via PRISMA guidelines was conducted with keywords for distraction terms OR craniofacial devices terms AND low/middle-income country terms OR reuse/cost/accessibility terms. These terms were applied to databases OVID (Medline), Cumulated Index to Nursing and Allied Health Literature (CINAHL), and Scopus and the register, Cochrane Trials. Records were further screened by abstract by 3 reviewers for inclusion. Results: Two hundred and nineteen articles were identified after screening by abstract. Twenty-six articles met the inclusion criteria. LMICs represented included India, Niger, Nigeria, Vietnam, and Syria. Non-LMICs that provided solutions to increasing access for LMICs included Brazil, Chile, Japan, Mexico, Poland, the Netherlands, South Africa, and Turkey. Costs, resources, the need for multiple surgical interventions or devices, and a lack of surgical expertise were listed as barriers to care. Proposed solutions included capacity building via high-income country (HIC) involvement, 3D modeling and printing, reusing devices, new device implementation, and modification of existing devices. Conclusion: Innovation is needed to overcome healthcare barriers in LMICs. With partnership, support, and resourcefulness, craniofacial surgery can be developed safely in LMICs.

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Translatability of Craniofacial Devices into Low-Middle Income Countries: A Systematic Review

Chaij,

Tin,

Nguyen

et al. 2024

FACE

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Diagnosis and Early Management of Robin Sequence

Rickart,

Sikdar,

Jenkinson

et al. 2024

Children

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The results of a survey of twenty-four neonatal units in the United Kingdom and Ireland are presented. A structured ten-item questionnaire was used, and demonstrated the variation in how infants with RS are diagnosed and managed. Notably, the survey revealed that a minority of infants were diagnosed antenatally. There were significant discrepancies in diagnostic criteria used and 79% of the units referred the patients to tertiary services. A preference for minimally invasive approaches to managing upper airway obstruction, such as a trial of prone positioning before progressing to a nasopharyngeal airway, was reported by 96% of the centers. A narrative review was undertaken which discusses the current practices for diagnosis and early management of Robin sequence (RS). The challenges of antenatal diagnosis, strategies to enhance outcomes through early detection and controversies surrounding the management of neonatal upper airway obstruction associated with RS are included. The results of the survey and our comprehensive review of the literature emphasize that there remains uncertainty regarding the best approach to treating Robin sequence.

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Differences in analysis and treatment of upper airway obstruction in Robin sequence across different countries in Europe

Cited by 2 publications

References 48 publications

Translatability of Craniofacial Devices into Low-Middle Income Countries: A Systematic Review

Translatability of Craniofacial Devices into Low-Middle Income Countries: A Systematic Review

Diagnosis and Early Management of Robin Sequence

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