Airway Management in Patients with Robin Sequence

  • Kevin D. Han
  • Mitchel Seruya
  • Diego A. Preciado
  • Albert K. Oh


Airway management in infants with Robin sequence (RS) remains controversial, ranging from conservative to operative modalities. In some centers, tracheostomy remains the mainstay for those infants with severe respiratory obstruction. We present here a retrospective review of 61 infants with RS at a large tertiary center from 1994 to 2010. Patients who had undergone tracheostomy were identified. Baseline demographics, complications, mortality, and time to decannulation without further surgical intervention (i.e., “natural” decannulation) were recorded. We witnessed that tracheostomy in infants with RS is associated with inordinately high rates of mortality and morbidity and long-term tracheostomy dependence, particularly patients with syndromic RS.


Airway Obstruction Airway Management Orthopedic Device Mandibular Growth Robin Sequence 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Children’s National Medical Center


Current Procedure Terminology

ICD – 9

International Classifications of ­Diseases Version 9


Length of hospital stay


Nasopharyngeal airway


Robin sequence


Statistical Program for Social Sciences


Tongue-lip adhesion


Financial Disclosure Information

The authors have no financial or commercial interests to disclose.

Conflict of Interest



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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Kevin D. Han
    • 1
  • Mitchel Seruya
    • 1
  • Diego A. Preciado
    • 2
    • 3
  • Albert K. Oh
    • 4
    • 5
  1. 1.Department of Plastic Surgery, 1PHCGeorgetown University HospitalWashington, DCUSA
  2. 2.Department of Otolaryngology, Pediatrics, and Integrative Systems BiologyThe George Washington University School of MedicineWashington, DCUSA
  3. 3.Division of Pediatric Otolaryngology, Department of OtolaryngologyChildren’s National Medical CenterWashington, DCUSA
  4. 4.Department of Surgery and PediatricsThe George Washington University School of MedicineWashington, DCUSA
  5. 5.Department of Plastic and Reconstructive SurgeryChildren’s National Medical CenterWashington, DCUSA

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