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皮埃尔·罗宾序列:文献随时间的综合叙述性回顾。

Pierre Robin sequence: A comprehensive narrative review of the literature over time.

机构信息

Unit of Oral and Maxillofacial Surgery, Magna Graecia University of Catanzaro, Catanzaro, 88100 Italy.

School of Dentistry, Department of Health Sciences, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy.

出版信息

J Stomatol Oral Maxillofac Surg. 2018 Nov;119(5):419-428. doi: 10.1016/j.jormas.2018.05.002. Epub 2018 May 17.

Abstract

Pierre Robin syndrome (PRS) is characterized of a triad of clinical signs: micrognathia, glossoptosis and obstruction of the upper airways frequently associated with palatal cleft. It is a heterogenic pathological entity and it can be found as isolated disease (nsPRS) or in association with other syndromes (sPRS), with more pronounced symptoms and systemic involvement. This review aims to summarize the principal features of PRS, analysing the different aspects of the disease. Epidemiological data highlight incidence, severity and mortality of PRS; pathophysiological mechanism reports the etiology and pathogenesis of the disease distinguishing between isolated and syndromic form. Because of the clinical importance of PRS, it's fundamental to describe the features of the Robin sequence to clearly define its primary and secondary clinical signs useful to diagnosis. A complete evaluation of the syndrome allows choosing the most appropriate therapeutic treatment, opting for conservative or surgical management, in order to improve the quality of life of the patient.

摘要

Pierre Robin 综合征(PRS)的特征是三联征临床征象:小下颌、舌后坠和上呼吸道阻塞,常伴有腭裂。它是一种异质性的病理实体,可以是孤立性疾病(nsPRS)或与其他综合征(sPRS)相关,症状更明显且全身受累。本文旨在总结 PRS 的主要特征,分析疾病的不同方面。流行病学数据强调了 PRS 的发病率、严重程度和死亡率;病理生理学机制报告了疾病的病因和发病机制,区分了孤立性和综合征性形式。由于 PRS 的临床重要性,描述 Robin 序列的特征对于明确界定其主要和次要临床体征以进行明确诊断至关重要。对综合征进行全面评估有助于选择最合适的治疗方法,选择保守或手术治疗,以提高患者的生活质量。

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