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Implementación de la Placa Palatina para la Secuencia de Robin Más Allá del Centro de Origen: Cómo Lo Hago
Agnès Giuseppi1, Nancy Vegas2,3, Briac Thierry3,4
1Department of Neonatalogy, AP-HP, Hôpital Necker-Enfants Malades, Paris, France.
The Laryngoscope
|February 3, 2026
Resumen
La placa palatina de Tübingen ofrece un tratamiento seguro y eficaz para recién nacidos con secuencia de Robin (SR) y obstrucción de las vías respiratorias superiores. Este enfoque mínimamente invasivo se puede implementar con éxito en centros pediátricos más allá de su origen, a pesar de requerir coordinación.
Área de la Ciencia:
- Otorrinolaringología Pediátrica
- Atención Neonatal
- Anomalías Craneofaciales
Sus antecedentes:
- La obstrucción de las vías respiratorias superiores es un desafío significativo en recién nacidos con secuencia de Robin (SR).
- Las opciones de tratamiento actuales para los problemas de las vías respiratorias inducidos por la SR requieren una cuidadosa consideración.
- Se buscan cada vez más técnicas mínimamente invasivas para el cuidado neonatal.
Objetivo del estudio:
- Describir el protocolo de implementación de la placa palatina de Tübingen en un centro de atención terciaria pediátrica.
- Informar los resultados clínicos de la primera serie de pacientes que utilizaron este dispositivo.
- Evaluar la viabilidad de integrar la placa palatina de Tübingen fuera de su centro de origen.
Principales métodos:
- Se desarrolló y siguió un protocolo paso a paso para la aplicación de la placa palatina de Tübingen.
- La recopilación de datos incluyó datos demográficos de los pacientes, curso del tratamiento y resultados.
- La coordinación del equipo multidisciplinario fue esencial para el manejo del paciente.
Principales resultados:
- La placa palatina de Tübingen se utilizó de manera segura y eficaz en la cohorte inicial de pacientes.
- Se logró una integración exitosa a pesar de una curva de aprendizaje inicial.
- El dispositivo abordó la obstrucción de las vías respiratorias superiores en recién nacidos con secuencia de Robin.
Conclusiones:
- La placa palatina de Tübingen es un tratamiento viable y eficaz para la obstrucción de las vías respiratorias neonatales en la secuencia de Robin.
- La implementación en nuevos centros es factible con la capacitación adecuada y el apoyo multidisciplinario.
- Este enfoque mínimamente invasivo amplía las opciones de tratamiento para los lactantes afectados.
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