The ontogeny of Robin sequence. Issue 6 (25th April 2018)

• Record Type: Journal Article
• Authors: Logjes, Robrecht J. H.; Breugem, Corstiaan C.; Van Haaften, Gijs; Paes, Emma C.; Sperber, Geoffrey H.; van den Boogaard, Marie‐José H.; Farlie, Peter G.
• Is Part Of: American journal of medical genetics. Volume 176:Issue 6(2018)
• Page Start: 1349
• Page End: 1368
• Publication Date: 2018-04-25
• Subjects: embryology -- genetics -- glossoptosis -- micrognathia -- cleft palate -- Pierre Robin sequence -- Robin sequence; Medical genetics -- Periodicals; 616.14205
• DOI: 10.1002/ajmg.a.38718
• Languages: English
• ISSNs: 1552-4825

Abstract

Abstract : The triad of micrognathia, glossoptosis, and concomitant airway obstruction defined as "Robin sequence" (RS) is caused by oropharyngeal developmental events constrained by a reduced stomadeal space. This sequence of abnormal embryonic development also results in an anatomical configuration that might predispose the fetus to a cleft palate. RS is heterogeneous and many different etiologies have been described including syndromic, RS‐plus, and isolated forms. For an optimal diagnosis, subsequent treatment and prognosis, a thorough understanding of the embryology and pathogenesis is necessary. This manuscript provides an update about our current understanding of the development of the mandible, tongue, and palate and possible mechanisms involved in the development of RS. Additionally, we provide the reader with an up‐to‐date summary of the different etiologies of this phenotype and link this to the embryologic, developmental, and genetic mechanisms.