ArticlePlastic and reconstructive surgery2025
Comparative Effectiveness of Preepiglottic Baton Plates and Mandibular Distraction in Infants with Robin Sequence.
Article in Plastic and reconstructive surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed.
- Health-related quality of life in children with Robin sequence following Tübingen palatal plate treatment in infancy.Archives of disease in childhood · 2026Article
- Descriptive Summary and Experience Introducing the Orthodontic Airway Plate to Treat Upper Airway Obstruction for Infants With Robin Sequence.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026Article
- Orthodontic Airway Plate Therapy for Infants with Robin Sequence: Clinical Principles, Current Evidence, and Evolving Innovations.Neonatology · 2026Review
- 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
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMandibular distraction osteogenesis (MDO) and preepiglottic baton plates (PEBP) are both effective for early management of upper-airway obstruction (UAO) in infants with Robin sequence (RS), but have not been directly compared. The purpose of this study was to compare early airway, feeding, and growth outcomes between these treatments.
methodsThis is a bicentric retrospective cohort study from 2015 through 2021 including infants with RS treated with MDO or PEBP before 6 months of age with pretreatment and posttreatment sleep studies and follow-up at least through age 1 year. The primary outcome was immediate postintervention UAO, measured as obstructive apnea-hypopnea index or obstructive apnea index, as available. Latest follow-up sleep studies, feeding, and growth characteristics were also assessed.
resultsA total of 114 participants were included (MDO, n = 31; PEBP, n = 83). Pretreatment UAO was similar between groups ( P = 0.61). PEBP was initiated at a younger age (median (interquartile range) 31 (14, 53) versus 41 (28, 84) days of life; P < 0.05). Significant reduction in obstructive apnea-hypopnea index or obstructive apnea index was achieved in both groups, greater with MDO (98%) compared with PEBP (94%) ( P < 0.05). PEBP demonstrated better early feeding and growth outcomes compared with MDO, with fewer surgical feeding tubes needed ( P < 0.001), and more rapid early growth ( P = 0.038). When stratified by preintervention UAO, infants starting with moderate UAO experienced similar airway outcomes with both treatments ( P = 0.11), whereas those with severe UAO had greater resolution with MDO ( P < 0.001).
conclusionBoth treatments effectively relieved moderate UAO in infants with RS, but MDO was more effective for infants with severe respiratory compromise. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
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