Use of the preepiglottic baton plate for treatment of tongue-based obstruction in newborns with Robin sequence.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-05-15 DOI:10.1097/MOO.0000000000001056

Kathryn S Marcus, Andrew R Scott

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引用次数: 0

Abstract

Purpose of review: The purpose of this manuscript is to review the current literature regarding nonoperative strategies for management of upper airway obstruction (UAO) among infants with Robin sequence (RS). We evaluate and discuss recent advances, benefits, and challenges of preepiglottic baton plate (PEBP) use as an alternative to more invasive surgical interventions for RS in infancy.

Recent findings: Over the last two decades, the use of an orthodontic appliance has become an increasingly popular nonoperative intervention for the treatment of RS in newborns. Among infants with isolated RS, PEBP placement has been proven effective in diminishing signs of upper airway obstruction, avoiding tracheostomy, and facilitating oral feeding. When compared side-by-side to proven surgical interventions, such as mandibular distraction osteogenesis (MDO), at least one study suggests that PEBP may be equally effective in treating infants with moderate UAO. In addition, PEBP utilization may result in improved feeding and growth outcomes compared to those reported among infants who undergo MDO.

Summary: This article summarizes the current landscape of an evolving, nonoperative treatment option for neonatal tongue base obstruction, which, in the appropriate patient population, represents an exciting alternative to surgical management.

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会厌前棒板治疗新生儿舌基梗阻的Robin顺序。

回顾的目的：这篇文章的目的是回顾目前关于罗宾序列（RS）婴儿上呼吸道阻塞（UAO）非手术治疗策略的文献。我们评估并讨论了会厌前接力棒板（PEBP）作为更具侵入性的手术干预婴儿RS的替代方法的最新进展、益处和挑战。最近的研究发现：在过去的二十年中，使用正畸矫治器已经成为一种越来越流行的非手术干预措施，用于治疗新生儿RS。在孤立性RS患儿中，放置PEBP已被证明可有效减少上呼吸道阻塞的迹象，避免气管切开术，并促进口服喂养。当与已证实的手术干预（如下颌牵张成骨术（MDO））进行对比时，至少有一项研究表明，PEBP可能对治疗中度UAO的婴儿同样有效。此外，与报道的接受MDO的婴儿相比，使用PEBP可能会改善喂养和生长结果。摘要：这篇文章总结了目前发展中的新生儿舌底梗阻的非手术治疗方案，在适当的患者群体中，这是一种令人兴奋的手术治疗方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.