Evidence and practical aspects of treatment with the Tübingen palatal plate

Area of Science:

• Craniofacial Medicine
• Pediatric Orthodontics
• Developmental Pediatrics

Background:

• Robin sequence and other craniofacial malformations often present complex challenges including airway obstruction and feeding difficulties.
• Early intervention is crucial for optimizing growth, development, and overall health outcomes in affected infants.
• Existing treatments may not fully address the multifaceted needs of these infants.

Purpose of the Study:

• To review the evidence supporting the Tübingen therapy concept for infants with craniofacial malformations.
• To outline the clinical and practical aspects of implementing the Tübingen therapy concept.
• To highlight the benefits of the Tübingen therapy concept on airway, feeding, growth, and neurodevelopment.

Main Methods:

• The Tübingen therapy concept utilizes a custom-made orthodontic palatal plate with a velar extension (Tübingen Palatal or Epiglottic Baton Plate, TPP or PEBP).
• This is combined with intensive, specialized feeding training.
• The review synthesizes existing literature on the application and outcomes of this combined approach.

Main Results:

• The Tübingen therapy concept has demonstrated success in infants with Robin sequence and other craniofacial anomalies.
• Significant improvements are observed in upper airway obstruction, feeding problems, and overall infant thriving.
• The therapy is associated with enhanced mandibular growth and positive neurocognitive outcomes.

Conclusions:

• The Tübingen therapy concept offers a comprehensive and effective approach for managing infants with craniofacial malformations.
• Its benefits extend beyond airway and feeding to impact growth and neurodevelopment.
• This therapy represents a valuable option for improving long-term outcomes in this patient population.