Dilemma in Managing Airway in a Child with Pierre Robin Sequence and Narrative Review of Treatment Options

Pierre Robin sequence (PRS) is characterized by facial abnormalities such as micrognathia, glossoptosis, and upper airway obstruction. Up to 90% of these children will present with cleft palate. Cleft palate is considered a common feature of PRS but is not a mandatory diagnostic characteristic. Premature diagnosis of PRS is prudent to plan and decide earlier on modes of airway management in infants with PRS, which, to date, remains a conundrum. We describe the challenges faced in managing an infant with PRS. We perform a narrative review of treatment options available for children with PRS and advocate for the role of early multidisciplinary teams in managing children with PRS.