Disruptive Therapy Using a Nonsurgical Orthodontic Airway Plate for the Management of Neonatal Robin Sequence: 1-Year Follow-up

Choo, HyeRan; Galera, Rhona I.; Balakrishnan, Karthik; Lin, Hung-Fu C; Ahn, Hyo‐Won; Lorenz, Peter; Khosla, Rohit K.; Profit, Jochen; Poets, Christian F.; Lee, J.S.

doi:10.1177/10556656221076980

Cited by 6 publications

(1 citation statement)

References 56 publications

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“…It is also fraught with the risk of traumatizing the infants' airway, which is why we have started to offer training courses for teams seriously interested in adopting our approach. Its successful adoption by various centers around the world [25][26][27][28][29][30] makes us confident that this is possible.…”

Section: Discussionmentioning

confidence: 99%

Caring for Infants with Robin Sequence Treated with the Tübingen Palatal Plate: A Review of Personal Practice

Knechtel,

Weismann,

Poets

2023

Children

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The Tübingen Palatal Plate (TPP) is a minimally invasive yet highly effective functional orthodontic treatment for upper airway obstruction in infants with Robin Sequence (RS). It consists of a palatal plate to cover the cleft and a velar extension that shifts the root of the tongue forward. We review our practical experience with this approach. First, upon admission, our local orthodontists perform an (3-D) intraoral scan of the maxilla. Based on the scan data, the TPP is manufactured in a semi-digital workflow. The length and angulation of its extension is checked via awake laryngoscopy and the effectiveness confirmed by a sleep study. Plates are kept in place by adhesive cream. When inserting the TPP, the tip of the tongue must be visible. Next, metal fixation bows should be secured to the forehead using tape and elastic bands. Plates are removed daily for cleaning, and the oral mucosa is then checked for pressure marks. Feeding training (initially only via finger feeding) may even start before plate insertion. Breathing often normalizes immediately once the plate is inserted. For isolated RS, we have never had to perform a tracheostomy. This has largely been possible through our highly dedicated and competent team, particularly the nursing staff, and the early involvement of parents.

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Section: Discussionmentioning

confidence: 99%

Caring for Infants with Robin Sequence Treated with the Tübingen Palatal Plate: A Review of Personal Practice

Knechtel,

Weismann,

Poets

2023

Children

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Differences in analysis and treatment of upper airway obstruction in Robin sequence across different countries in Europe

et al. 2023

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Weight Gain of Infants with Robin Sequence Treated Nonsurgically Using the Stanford Orthodontic Airway Plate (SOAP): 1-Year Follow-Up

Choo,

Davis,

Bain

et al. 2024

The Cleft Palate Craniofacial Journal

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Objective To identify weight gain trends of infants with Robin sequence (RS) treated by the Stanford Orthodontic Airway Plate treatment (SOAP). Design Retrospective longitudinal cohort study. Setting Single tertiary referral hospital. Patients Eleven infants with RS treated with SOAP. Interventions Nonsurgical SOAP. Main Outcome Measures Body weight, Weight-for-age (WFA) Z-scores, and WFA percentiles at birth (T0), SOAP delivery (T1), SOAP graduation (T2), and 12-months old (T3). Results Between T0 and T1, the weight increased but the WFA percentile decreased from 36.5% to 15.1%, and the Z-score worsened from −0.43 to −1.44. From T1 to T2, the percentile improved to 22.55% and the Z-score to −0.94. From T2 to T3, the percentile and the Z-scores further improved to 36.59% and −0.48, respectively. Conclusions SOAP provided infants experiencing severe respiratory distress and oral feeding difficulty with an opportunity to gain weight commensurate with the WHO healthy norms without surgical intervention.

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Disruptive Therapy Using a Nonsurgical Orthodontic Airway Plate for the Management of Neonatal Robin Sequence: 1-Year Follow-up

Cited by 6 publications

References 56 publications

Caring for Infants with Robin Sequence Treated with the Tübingen Palatal Plate: A Review of Personal Practice

Caring for Infants with Robin Sequence Treated with the Tübingen Palatal Plate: A Review of Personal Practice

Differences in analysis and treatment of upper airway obstruction in Robin sequence across different countries in Europe

Weight Gain of Infants with Robin Sequence Treated Nonsurgically Using the Stanford Orthodontic Airway Plate (SOAP): 1-Year Follow-Up

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