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Nonsurgical Orthodontic Airway Plate Treatment for Newborns With Robin Sequence

HyeRan Choo1,2,3, Rohit K Khosla1,2, Kara D Meister2,4

  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery, 10624Stanford University School of Medicine, Palo Alto, CA, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|April 13, 2021
PubMed

Insights

Nonsurgical orthodontic airway plates (OAP) offer a reproducible and effective treatment for infants with Robin sequence, aiding their functional and structural development independently. This approach, though underutilized, shows significant promise for improving infant outcomes.

Area of Science:

  • Craniofacial medicine
  • Pediatric dentistry
  • Neonatology

Background:

  • Robin sequence presents significant airway and feeding challenges in infants.
  • Nonsurgical orthodontic airway plates (OAP) have shown promise for decades but are infrequently used globally.
  • Limited accessibility hinders the widespread adoption of OAP for affected infants.

Purpose of the Study:

  • To demonstrate the feasibility and effectiveness of OAP treatment for infants with Robin sequence.
  • To highlight the potential for OAP to facilitate independent functional and structural improvement in affected infants.
  • To showcase the reproducibility of European-originated OAP treatment in a US-based clinical setting.

Main Methods:

  • Presentation of two consecutively treated cases of infants with Robin sequence.
  • Application of nonsurgical orthodontic airway plates (OAP) tailored to individual infant needs.
  • Clinical observation and assessment of functional and structural improvements post-OAP intervention.

Main Results:

  • Both treated infants demonstrated functional improvement through OAP therapy.
  • The OAP approach facilitated the infants' ability to overcome their airway and feeding difficulties.
  • The results confirm the reproducibility and effectiveness of OAP treatment in a US institution.

Conclusions:

  • Nonsurgical orthodontic airway plates (OAP) represent a viable and effective treatment option for infants with Robin sequence.
  • OAP therapy empowers infants to overcome structural and functional challenges, promoting independent development.
  • Increased awareness and accessibility of OAP treatment are recommended for improved infant care.

Keywords:
Robin sequenceTübingen palatal plate (TPP)cleft palatedistraction osteogenesisglossoptosisinfantobstructive sleep apneapre-epiglottal baton plate (PEBP)upper airway obstruction

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