Background: There is no gold standard for the surgical management of Pierre Robin sequence (PRS). This review aimed to comprehensively evaluate the most recent data regarding airway and feeding outcomes for infants with PRS undergoing MDO or TLA. Methods: A literature review in April 2023 searched PubMed, Scopus, and Cochrane for English articles published since 2018 on MDO and/or TLA efficacy in infants with PRS. Studies with 95% tracheostomy avoidance. Reoperation and gastrostomy rates were markedly lower following MDO. Conclusions: With routinely documented polysomnography data, MDO consistently exhibited superior resolution of upper airway obstruction compared with TLA; moreover, the markedly lower rate of reoperations suggests that the airway resolution provided by MDO is more stably maintained. In addition, our data reinforces previous notions suggesting MDO superiority in the achievement of full oral feeds as well as in gastrostomy avoidance.
Torres et al. (Wed,) studied this question.