1 Robin’s 2 detailed description of the disorder and his subsequent contributions have led to the eponymous characterization of this triad as Pierre Robin sequence, although it is clear that others had described similar associations before Robin. The triad of a hypoplastic mandible, glossoptosis, and airway obstruction has been widely credited to the French “stomatologist” Pierre Robin, based on his report of these findings published in 1923. ○ It is occasionally necessary to consider surgery for mandibular lengthening in a child 6 months of age or older. ○ Surgical management of airway obstruction in Pierre Robin sequence is largely through one of three approaches: tracheostomy, tongue-lip adhesion, or mandibular distraction osteogenesis. ○ The preoperative evaluation of surgery candidates must be tailored to the underlying issues. The indications for surgery vary with the age of the child, from urgent surgery to alleviate airway obstruction because of a hypoplastic mandible during infancy, to elective orthognathic surgery for adolescents with occlusal and aesthetic concerns. ○ Surgery candidates with Pierre Robin sequence range from neonates to young adults. ○ The variability in both the inclusion criteria and the differences in terminology that surround Pierre Robin sequence have made actual incidence figures difficult to determine.
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