To identify weight gain trends of infants with Robin sequence (RS) treated by the Stanford Orthodontic Airway Plate treatment (SOAP).
Design
Retrospective longitudinal cohort study.
Setting
Single tertiary referral hospital.
Patients
Eleven infants with RS treated with SOAP.
Interventions
Nonsurgical SOAP.
Main Outcome Measures
Body weight, Weight-for-age (WFA) Z-scores, and WFA percentiles at birth (T0), SOAP delivery (T1), SOAP graduation (T2), and 12-months old (T3).
Results
Between T0 and T1, the weight increased but the WFA percentile decreased from 36.5% to 15.1%, and the Z-score worsened from −0.43 to −1.44. From T1 to T2, the percentile improved to 22.55% and the Z-score to −0.94. From T2 to T3, the percentile and the Z-scores further improved to 36.59% and −0.48, respectively.
Conclusions
SOAP provided infants experiencing severe respiratory distress and oral feeding difficulty with an opportunity to gain weight commensurate with the WHO healthy norms without surgical intervention.
BreugemCCEvansKNPoetsCF, et al.Best practices for the diagnosis and evaluation of infants with robin sequence: A clinical consensus report. JAMA Pediatr.2016;170(9):894-902. doi:https://doi.org/10.1001/jamapediatrics.2016.0796
2.
VatlachSMaasCPoetsCF. Birth prevalence and initial treatment of Robin sequence in Germany: A prospective epidemiologic study. Orphanet J Rare Dis.2014;9:9. doi:https://doi.org/10.1186/1750-1172-9-9
3.
MossML. The functional matrix. In: KrausBRiedelR, eds. Vistas in orthodontics.Philadelphia: Lea & Febiger; 1962:85-98.
4.
PaesECde VriesIACPenrisWM, et al.Growth and prevalence of feeding difficulties in children with Robin sequence: A retrospective cohort study. Clin Oral Investig.2017;21(6):2063-2076. doi:https://doi.org/10.1007/s00784-016-1996-8
JinkaSKACoombsDMMurthyAS. Complications of pediatric mandibular distraction osteogenesis hardware: A 10-year retrospective analysis of the food and drug administration manufacturer and user facility device experience database. FACE.2022;3(3):403-409. doi:https://doi.org/10.1177/27325016221111383
7.
ManriqueMMcGrathJLBryantJR, et al.Device malfunction associated with mandibular distraction for infants with robin sequence. J Craniofac Surg.2021;32(7):2335-2340. doi:https://doi.org/10.1097/SCS.0000000000007736
8.
GaliéMCandottoVEliaGClauserLC. Temporomandibular joint ankylosis after early mandibular distraction osteogenesis: A new syndrome?J Craniofac Surg.2017;28(5):1185-1190. doi:https://doi.org/10.1097/SCS.0000000000003612
9.
SchlundMTouzet-RoumazeilleSNicotRFerriJ. Temporomandibular joint ankylosis following mandibular distraction osteogenesis: A dreadful complication. J Craniofac Surg.2020;31(1):222-225. doi:https://doi.org/10.1097/SCS.0000000000005911
10.
ZhangRSLinLOHoppeICBartlettSPTaylorJASwansonJW. Risk factors for perioperative respiratory failure following mandibular distraction osteogenesis for micrognathia: A retrospective cohort study. Plast Reconstr Surg. 2019;143(6):1725-1736. doi:https://doi.org/10.1097/PRS.0000000000005651
11.
KorolenkovaMVStarikovaNV. Dental'nye oslozhneniya kompressionno-distraktsionnogo osteogeneza nizhnei chelyusti [Dental complications of the mandibular distraction osteogenesis]. Stomatologiia (Mosk).2020;99(6. Vyp. 2):24-28. doi:https://doi.org/10.17116/stomat20209906224
12.
BelcherRHPhillipsJD. Total facial nerve injury during mandibular distraction osteogenesis. Int J Pediatr Otorhinolaryngol.2020;136:110182. doi:https://doi.org/10.1016/j.ijporl.2020.110182
HotzMGnoinskiW. Clefts of the secondary palate associated with the “Pierre Robin syndrome”. Management by early maxillary orthopaedics. Swed Dent J Suppl.1982;15:89-98.
15.
StellzigABasdraEKSontheimerDKomposchG. Non-surgical treatment of upper airway obstruction in oculoauriculovertebral dysplasia: A case report. Eur J Orthod.1998;20(2):111-114. doi:https://doi.org/10.1093/ejo/20.2.111.
16.
BacherMSautermeisterJUrschitzMSBuchenauWArandJPoetsCF. An oral appliance with velar extension for treatment of obstructive sleep apnea in infants with Pierre Robin sequence. Cleft Palate Craniofac J.2011;48(3):331-336. doi:https://doi.org/10.1597/09-091
17.
KochelJMeyer-MarcottyPWirbelauerJ, et al.Treatment modalities of infants with upper airway obstruction–review of the literature and presentation of novel orthopedic appliances. Cleft Palate Craniofac J.2011;48(1):44-55. doi:https://doi.org/10.1597/08-273
18.
SchmidtGHirschfelderAHeilandMMatuschekC. 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(8):1063-1069. doi:https://doi.org/10.1177/1055665620972288
19.
MaasCPoetsCF. 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(6):F491-F494. doi:https://doi.org/10.1136/archdischild-2014-306472
20.
BuchenauWWenzelSBacherMMüller-HagedornSArandJPoetsCF. Functional treatment of airway obstruction and feeding problems in infants with Robin sequence. Arch Dis Child Fetal Neonatal Ed.2017;102(2):F142-F146. doi:https://doi.org/10.1136/archdischild-2016-311407
21.
TomicJMetzlerPAlconA, et al.Weight gain in infants with Pierre Robin sequence. J Craniomaxillofac Surg.2020;48(6):555-559. doi:https://doi.org/10.1016/j.jcms.2020.03.009
22.
ChooHKhoslaRKMeisterKD, et al.Nonsurgical orthodontic airway plate treatment for newborns with robin sequence. Cleft Palate Craniofac J.2022;59(3):403-410. doi:https://doi.org/10.1177/10556656211007689
23.
ChooHKimSHAhnHWPoetsCFChungKR. Split orthodontic airway plate: An innovation to the utilization method of conventional orthodontic airway plate for neonates with Robin sequence. Korean J Orthod.2022;52(4):308-312. doi:https://doi.org/10.4041/kjod21.238
24.
ChooHGaleraRIBalakrishnanK, et al.Disruptive therapy using a nonsurgical orthodontic airway plate for the management of neonatal robin sequence: 1-year follow-up. Cleft Palate Craniofac J.2023;60(6):758-767. doi:https://doi.org/10.1177/10556656221076980
25.
StubenitskyBMTaylorHOPetersDKellyCHarknessMForrestC. Predictive value of weight gain and airway obstruction in isolated Robin sequence. Cleft Palate Craniofac J.2010;47(4):378-381. doi:https://doi.org/10.1597/09-038.1
26.
GeorgeAJagannathPJoshiSSJagadeeshAM. Weight-for-age standard score - distribution and effect on in-hospital mortality: A retrospective analysis in pediatric cardiac surgery. Ann Card Anaesth.2015;18(3):367-372. doi:https://doi.org/10.4103/0971-9784.159807
27.
World Health Organization Multicentre Growth Reference Study Group. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development (Monograph). World Health Organization Press; 2006.
28.
LiLScottAR. Weight gain in infants with pierre robin sequence in the first year of life. Otolaryngol Head Neck Surg.2020;163(5):1032-1037. doi:https://doi.org/10.1177/019459982092545419.
29.
SmithRWAdamkinDHRadmacherPG. Timing is everything: Lipid and energy losses with simulated nasogastric tube feeds. J Neonat Care.2018;1(1):101.
30.
WiechersCIffländerRGerdesR, et al.Retrospective study on growth in infants with isolated Robin sequence treated with the Tuebingen Palate Plate. Orphanet J Rare Dis.2021;16(1):338. doi:https://doi.org/10.1186/s13023-021-01959-2
31.
HarrisJACaprioRMResnickCM. Do infants with robin sequence have improved feeding and weight gain after mandibular distraction?J Oral Maxillofac Surg.2021;79(6):1331-1338. doi:https://doi.org/10.1016/j.joms.2021.01.029
32.
HarrisJAHashimELarsonKCaprioRMGordonAMResnickCM. Early weight gain in infants with Robin sequence after mandibular distraction. Int J Oral Maxillofac Surg.2022;51(10):1305-1310. doi:https://doi.org/10.1016/j.ijom.2022.01.018
33.
EhsanZKurianCWeaverKN, et al.Longitudinal sleep outcomes in neonates with pierre robin sequence treated conservatively. J Clin Sleep Med.2019;15(3):477-482. doi:https://doi.org/10.5664/jcsm.7680
34.
van der PlasPPJMvan HeeschGGMKoudstaalMJ, et al.Non-surgical respiratory management in relation to feeding and growth in patients with robin sequence; a prospective longitudinal study. Cleft Palate Craniofac J.Published online September 20, 2023. doi:https://doi.org/10.1177/10556656231199840
35.
DanielMBaileySWalkerK, et al.Airway, feeding and growth in infants with Robin sequence and sleep apnoea. Int J Pediatr Otorhinolaryngol.2013;77(4):499-503. doi:https://doi.org/10.1016/j.ijporl.2012.12.019
