Mandibular growth in infants with Robin sequence treated with the Tübingen palatal plate

Autor: Cornelia Wiechers, Wolfgang Buchenau, Jörg Arand, Anne-Friederike Oertel, Katharina Peters, Silvia Müller-Hagedorn, Bernd Koos, Christian F. Poets
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Head & Face Medicine, Vol 15, Iss 1, Pp 1-8 (2019)
Druh dokumentu: article
ISSN: 1746-160X
DOI: 10.1186/s13005-019-0200-1
Popis: Abstract Background Robin sequence (RS) is characterized by mandibular retrognathia, glossoptosis and upper airway obstruction. Whether mandibular catch-up growth may occur in RS is yet controversial. Our functional and less invasive treatment including the Tübingen Palatal Plate (TPP), early oral feeding and orofacial stimulation may promote mandibular catch-up growth. We evaluated the effect of the Tübingen Palatal Plate on mandibular growth, expressed by the Jaw index, sleep study results and weight gain in infants admitted with isolated and syndromic RS, born at or referred to our center between 6/2015 and 5/2018. Methods Retrospective analysis of our electronic patient database that included data on jaw index measurements, sleep study results and standard deviation (Z-)scores for weight. Results Of 31 patients referred for RS treatment (22 isolated, 9 syndromic), we had data on the above parameters, determined at admission, discharge and 3 months after discharge, in 20. Jaw index at admission and 3-month follow-up was 8.8 (6.3–11.3) and 2.1 (2.0–4.0), respectively (median (IQR); p
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