Abstract：
OBJECTIVE: Narrowing of the palatal cleft is often observed in infants with Robin sequence (RS) treated with the Stanford Orthodontic Airway Plate treatment (SOAP) even though SOAP is utilized primarily to establish airway patency. The current study quantified dimensional changes of the cleft palate (CP) in infants with RS treated with SOAP.
METHODS: A retrospective chart review.
METHODS: Infants with RS and CP who completed SOAP and had maxillary arch models at both pre- and post-treatment time points at a single tertiary referral hospital between September 2019 and July 2023.
UNASSIGNED: Maxillary arch models were measured and analyzed using Bivariate statistical analysis.
RESULTS: Seventeen infants were included in the study. The median age (min, max) was 6.7 weeks (1.1, 21.9) at pre-treatment and 26.6 weeks (18.7, 37.0) at post-treatment. The median Obstructive Apnea Hypopnea Index was 36.2 events/hour (8.1, 103.1) at pre-treatment and 4.1 events/hour (1.9, 8.6) at post-treatment. The pre-treatment width of CP decreased by an average (± standard diviation) of 6.37 mm (± 3.55, p < 0.001) at post-treatment. The ratio of the posterior cleft width to the total maxillary arch width decreased from 40% (± 9.1) at pre-treatment to 22% (± 11) at post-treatment (p < 0.001).
CONCLUSIONS: The dimensions of CP reduced significantly during SOAP in infants with RS and CP treated for their severe upper airway obstruction. The findings highlight a potential benefit of SOAP that may contribute favorably to the palate repair surgery.
METHODS: A retrospective chart review.
METHODS: Infants with RS and CP who completed SOAP and had maxillary arch models at both pre- and post-treatment time points at a single tertiary referral hospital between September 2019 and July 2023.
UNASSIGNED: Maxillary arch models were measured and analyzed using Bivariate statistical analysis.
RESULTS: Seventeen infants were included in the study. The median age (min, max) was 6.7 weeks (1.1, 21.9) at pre-treatment and 26.6 weeks (18.7, 37.0) at post-treatment. The median Obstructive Apnea Hypopnea Index was 36.2 events/hour (8.1, 103.1) at pre-treatment and 4.1 events/hour (1.9, 8.6) at post-treatment. The pre-treatment width of CP decreased by an average (± standard diviation) of 6.37 mm (± 3.55, p < 0.001) at post-treatment. The ratio of the posterior cleft width to the total maxillary arch width decreased from 40% (± 9.1) at pre-treatment to 22% (± 11) at post-treatment (p < 0.001).
CONCLUSIONS: The dimensions of CP reduced significantly during SOAP in infants with RS and CP treated for their severe upper airway obstruction. The findings highlight a potential benefit of SOAP that may contribute favorably to the palate repair surgery.
摘要：
目的：经常在接受斯坦福正畸气道平板治疗（SOAP）的Robin序列（RS）的婴儿中观察到腭裂的缩小，尽管SOAP主要用于建立气道通畅。当前的研究量化了用SOAP治疗的RS婴儿的left裂（CP）的尺寸变化。
方法：回顾性图表回顾。
方法：在2019年9月至2023年7月期间，在一家三级转诊医院的治疗前和治疗后时间点完成SOAP并具有上颌弓模型的RS和CP婴儿。
■使用双变量统计分析测量和分析上颌弓模型。
结果：17名婴儿被纳入研究。中位年龄(最小，治疗前max）为6.7周（1.1，21.9），治疗后为26.6周（18.7，37.0）。中位阻塞性呼吸暂停低通气指数在治疗前为36.2事件/小时(8.1,103.1),在治疗后为4.1事件/小时(1.9,8.6)。CP的治疗前宽度在治疗后平均减少6.37mm（±3.55，p<0.001）。后裂宽度与上颌弓总宽度的比率从治疗前的40%(±9.1)下降到治疗后的22%(±11)(p<0.001)。
结论：RS和CP治疗严重上呼吸道阻塞的婴儿在SOAP期间CP尺寸显著降低。这些发现强调了SOAP的潜在益处，该益处可能有利于腭修复手术。
方法：回顾性图表回顾。
方法：在2019年9月至2023年7月期间，在一家三级转诊医院的治疗前和治疗后时间点完成SOAP并具有上颌弓模型的RS和CP婴儿。
■使用双变量统计分析测量和分析上颌弓模型。
结果：17名婴儿被纳入研究。中位年龄(最小，治疗前max）为6.7周（1.1，21.9），治疗后为26.6周（18.7，37.0）。中位阻塞性呼吸暂停低通气指数在治疗前为36.2事件/小时(8.1,103.1),在治疗后为4.1事件/小时(1.9,8.6)。CP的治疗前宽度在治疗后平均减少6.37mm（±3.55，p<0.001）。后裂宽度与上颌弓总宽度的比率从治疗前的40%(±9.1)下降到治疗后的22%(±11)(p<0.001)。
结论：RS和CP治疗严重上呼吸道阻塞的婴儿在SOAP期间CP尺寸显著降低。这些发现强调了SOAP的潜在益处，该益处可能有利于腭修复手术。
