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http://dx.doi.org/10.4041/kjod21.238

Split orthodontic airway plate: An innovation to the utilization method of conventional orthodontic airway plate for neonates with Robin sequence  

Choo, HyeRan (Department of Surgery, Division of Plastic and Reconstructive Surgery, Pediatric Craniofacial and Airway Orthodontics and Dental Sleep Medicine, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford)
Kim, Seong-Hun (Department of Orthodontics, Kyung Hee University School of Dentistry)
Ahn, Hyo-Won (Department of Surgery, Division of Plastic and Reconstructive Surgery, Pediatric Craniofacial and Airway Orthodontics and Dental Sleep Medicine, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford)
Poets, Christian F. (Department of Neonatology, Interdisciplinary Center for Craniofacial Malformations, University Hospital, Tubingen University)
Chung, Kyu-Rhim (Department of Orthodontics, Kyung Hee University School of Dentistry)
Publication Information
The korean journal of orthodontics / v.52, no.4, 2022 , pp. 308-312 More about this Journal
Abstract
Since the emergence of neonatal infant orthodontics for treatments of cleft lip and palate with or without Robin sequence (RS) in Europe in the 1950s, advancements in design and scope of its application have been remarkable. As the first institution to adopt orthodontic airway plate (OAP) treatment in the United States in 2019, we saw a need for innovation of the original design to streamline the most labor-intensive and time-consuming aspects of OAP utilization. A solution is introduced using a systematic split expansion mechanism to re-size the OAP periodically to accommodate the neonate's maxillary growth. To date, seven RS patients have received this modified treatment protocol at our institution. Each patient completed full treatment using only one OAP. This innovative utilization method is aptly named the split orthodontic airway plate (S-OAP). Details of the S-OAP and its modifications from conventional OAP are reported.
Keywords
Airway; Craniofacial anomalies; Cleft lip and palate; Infant obstructive sleep apnea;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Schmidt G, Hirschfelder A, Heiland M, Matuschek C. Customized pre-epiglottic baton plate-a practical guide for successful, patient-specific, noninvasive treatment of neonates with Robin sequence. Cleft Palate Craniofac J 2021;58:1063-9.   DOI
2 Breugem CC, Evans KN, Poets CF, Suri S, Picard A, Filip C, et al. Best practices for the diagnosis and evaluation of infants with robin sequence: a clinical consensus report. JAMA Pediatr 2016;170:894-902.   DOI
3 Gorlin RJ, Cervenka J, Pruzansky S. Facial clefting and its syndromes. Birth Defects Orig Artic Ser 1971;7:3-49.
4 Sher AE. Mechanisms of airway obstruction in Robin sequence: implications for treatment. Cleft Palate Craniofac J 1992;29:224-31.   DOI
5 Bacher M, Sautermeister J, Urschitz MS, Buchenau W, Arand J, Poets CF. An oral appliance with velar extension for treatment of obstructive sleep apnea in infants with Pierre Robin sequence. Cleft Palate Craniofac J 2011;48:331-6.   DOI
6 Choo H, Maguire M, Low DW. Modified technique of presurgical infant maxillary orthopedics for complete unilateral cleft lip and palate. Plast Reconstr Surg 2012;129:249-52.   DOI
7 Choo H, Maguire M, Low DW. Modified technique of presurgical infant maxillary orthopedics for complete bilateral cleft lip and palate. Plast Reconstr Surg 2012;129:244-8.   DOI
8 Poets CF, Koos B, Reinert S, Wiechers C. The Tubingen palatal plate approach to Robin sequence: summary of current evidence. J Craniomaxillofac Surg 2019;47:1699-705.   DOI
9 Choo H, Khosla RK, Meister KD, Wan DC, Lin HC, Feczko R, et al. Nonsurgical orthodontic airway plate treatment for newborns with Robin sequence. Cleft Palate Craniofac J 2021. doi: 10.1177/10556656211007689. [Epub ahead of print]   DOI
10 Maas C, Poets CF. Initial treatment and early weight gain of children with Robin Sequence in Germany: a prospective epidemiological study. Arch Dis Child Fetal Neonatal Ed 2014;99:F491-4.   DOI
11 Moss ML. The functional matrix. In: Kraus BS, Riedel RA, eds. Vistas in orthodontics. Philadelphia: Lea & Febiger; 1962. p. 85-98.
12 Chung KR. Biocreative therapy: new era in contemporary orthodontics. Seoul: Myung Mun Publishing Co.; 2009.
13 Pielou WD. Non-surgical management of Pierre Robin syndrome. Arch Dis Child 1967;42:20-3.   DOI
14 Wiechers C, Buchenau W, Arand J, Oertel AF, Peters K, Muller-Hagedorn S, et al. Mandibular growth in infants with Robin sequence treated with the Tubingen Palatal Plate. Head Face Med 2019;15:17.   DOI
15 Muller-Hagedorn S, Arand J, Scholz T, Poets CF, Wiechers C. An innovative method for manufacturing the Tuebingen palatal plate for infants with Robin sequence. BMC Pediatr 2020;20:103.   DOI
16 Poets CF, Maas C, Buchenau W, Arand J, Vierzig A, Braumann B, et al. Multicenter study on the effectiveness of the pre-epiglottic baton plate for airway obstruction and feeding problems in Robin sequence. Orphanet J Rare Dis 2017;12:46.   DOI