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Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members. 

Clinical Pathway: 

 Inclusion criteria: 

  • Inclusion: 
    • Infants and children with suspected micrognathia and any of the following: 
      • Stertor, stridor, or increased work of breathing when supine 
      • Feeding difficulty 

 Committee members involved in the development: 

  • Zarmina Ehsan, MD | Pulmonary and Sleep Medicine | Committee Chair 
  • Baha Al-Shawwa, MD | Pulmonary and Sleep Medicine | Committee Member 
  • Daniel Jensen, MD | Ear, Nose, Throat | Committee Member 
  • John Dahl, MD, PhD, MBA | Ear, Nose, Throat | Committee Member 
  • Karishma Rao, MD | Neonatology | Committee Member 
  • Julie Weiner, DO | Neonatology | Committee Member 
  • Arhana Chattopadhyay, MD | Plastic and Reconstructive Surgery | Committee Member 
  • Adam Goodreau, MD | Plastic and Reconstructive Surgery | Committee Member 
  • Bonnie Sullivan, MD | Clinical Genetics | Committee Member 

 EBP Committee Members: 

  • Todd Glenski, MD, MSHA, FASA | Anesthesiology, Evidence Based Practice 
  • Kelli Ott, OTD, OTR/L | Evidence Based Practice 

 Publication dates: 

  • Finalized date: 09/2026 
  • Next expected revision date: 09/2030 

Concerns with content: 

If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu. 

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.