ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2021
Customized Pre-Epiglottic Baton Plate-A Practical Guide for Successful, Patient-Specific, Noninvasive Treatment of Neonates With Robin Sequence.
Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 29 citations in OpenAlex.
- A Sedation Protocol for Endoscopic Baton-Plate Adjustment in Neonates With Pierre Robin Sequence.Paediatric anaesthesia · 2026Article
- Trends Over 10 Years in Surgeons Performing Mandibular Distraction Osteogenesis in Infants: A National Cohort Study.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026Article
- Speech Outcomes in Children with Robin Sequence Treated with a Pre-Epiglottic Baton Plate.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026Article
- Complete Protocol and Guidelines for the Implementation and Manufacturing of the Tübingen Palatal Plate-An Interdisciplinary Technical Note on the Tübingen Approach for Infants with Robin Sequence.Bioengineering (Basel, Switzerland) · 2025Article
- Nonsurgical improvement of severe upper airway obstruction in infants with Robin sequence and cleft palate using Stanford orthodontic airway plate treatment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Diagnosis and Early Management of Robin Sequence.Children (Basel, Switzerland) · 2024Review
- The Evolution of Robin Sequence Treatment Based on the Biomimetic Interdisciplinary Approach: A Historical Review.Biomimetics (Basel, Switzerland) · 2023Review
- Caring for Infants with Robin Sequence Treated with the Tübingen Palatal Plate: A Review of Personal Practice.Children (Basel, Switzerland) · 2023Review
- Automation of Measurements for Personalized Medical Appliances by Means of CAD Software-Application in Robin Sequence Orthodontic Appliances.Bioengineering (Basel, Switzerland) · 2022Article
- Split orthodontic airway plate: An innovation to the utilization method of conventional orthodontic airway plate for neonates with Robin sequence.Korean journal of orthodontics · 2022Article
- Obstructive Sleep Apnea in Neonates.Children (Basel, Switzerland) · 2022Review
- Vomer Flaps Support Velopharyngeal Competency, Fistula Free Repair, and 3D Construction of Normal Anatomy in Patients with Cleft Palate.Plastic and reconstructive surgery. Global open · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDespite its efficiency and benefits in treating patients with Robin sequence (RS), the pre-epiglottic baton plate (PEBP) is not widely used. However, its acceptance might improve with specific defined parameters for indication and proper design of the velar extension. We present our 13-year, single-center experience in treating infants with RS using PEBP, focusing on the description and insertion of an endoscopically guided PEBP design along with its complications and limitations. DESIGN AND INNOVATION: We recommend PEBP as primary treatment for RS, suggesting a new approach of design adjustment based on endoscopic findings of multilevel upper airway obstruction.
settingDepartment of cleft lip and palate. PATIENTS: Infants with isolated or syndromic RS, period 2010 to 2019.
interventionsPre-epiglottic baton plate treatment, intravelar veloplasty, and hard palate closure after initial PEBP treatment.
resultsWe treated 132 infants (isolated RS, 111; syndromic RS, 21) with PEBP. All infants with isolated RS were discharged within an average of 8 days of PEBP therapy. For them, no tracheotomy or tongue-lip adhesion procedures were needed. Only 4 of the 20 infants discharged with a nasogastric tube needed it for >2 weeks. Intravelar veloplasty and palate closure were performed after 3 and 6 months of initiating PEBP treatment, respectively.
conclusionsApplication of an orthodontic device in RS therapy has not been accepted worldwide. We hope that our learning curve and recommendations about PEBP will help the implementation of this highly effective and nonsurgical treatment option.
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