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Weight Gain of Infants with Robin Sequence Treated Nonsurgically Using the Stanford Orthodontic Airway Plate (SOAP):

HyeRan Choo1, Alexis S Davis2, Lisa C Bain2

  • 1Department of Surgery, Division of Plastic and Reconstructive Surgery, Neonatal and Pediatric Craniofacial Airway Orthodontics, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|February 19, 2024
PubMed

Insights

The Stanford Orthodontic Airway Plate (SOAP) treatment helped infants with Robin sequence (RS) gain weight. This nonsurgical approach improved weight-for-age percentiles and Z-scores toward healthy norms.

Area of Science:

  • Pediatric Dentistry
  • Craniofacial Anomalies
  • Neonatal Care

Background:

  • Robin sequence (RS) presents significant challenges in infant feeding and respiration.
  • Weight gain is a critical indicator of health and development in infants with RS.
  • Nonsurgical interventions are sought to manage RS complications.

Purpose of the Study:

  • To evaluate weight gain trends in infants with Robin sequence (RS) undergoing Stanford Orthodontic Airway Plate (SOAP) treatment.
  • To assess the impact of SOAP on weight-for-age (WFA) Z-scores and percentiles.

Main Methods:

  • Retrospective longitudinal cohort study of 11 infants with RS treated with nonsurgical SOAP.
  • Weight, WFA Z-scores, and WFA percentiles were measured at birth (T0), SOAP delivery (T1), SOAP graduation (T2), and 12 months (T3).

Main Results:

  • Infants showed initial weight gain but decreased WFA percentiles and Z-scores between birth and SOAP delivery.
  • Following SOAP treatment, WFA percentiles and Z-scores demonstrated improvement from SOAP delivery to graduation and continued to improve by 12 months.
  • The SOAP intervention facilitated weight gain aligning with World Health Organization (WHO) healthy norms.

Conclusions:

  • The Stanford Orthodontic Airway Plate (SOAP) offers a viable nonsurgical option for managing infants with Robin sequence (RS).
  • SOAP treatment supports improved weight gain and nutritional status in infants with RS, addressing challenges related to respiratory distress and feeding difficulties.
  • This approach enables infants with RS to achieve weight gain trends commensurate with healthy developmental norms.

Keywords:
Pierre Robin sequencecleft palateglossoptosisinfant obstructive sleep apneainfant orthopedicsoral feeding difficulty‌retrognathia‌upper airway obstruction

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