Marcus Kathryn S, Scott Andrew R
Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear.
Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, USA.
Curr Opin Otolaryngol Head Neck Surg. 2025 Aug 1;33(4):236-241. doi: 10.1097/MOO.0000000000001056. Epub 2025 May 14.
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.
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.
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.
本手稿旨在回顾当前关于罗宾序列（RS）婴儿上气道梗阻（UAO）非手术治疗策略的文献。我们评估并讨论了会厌前棒板（PEBP）作为婴儿期RS更具侵入性手术干预替代方法的最新进展、益处和挑战。
在过去二十年中，正畸矫治器的使用已成为治疗新生儿RS越来越受欢迎的非手术干预措施。在孤立性RS婴儿中，放置PEBP已被证明可有效减轻上气道梗阻症状、避免气管切开并促进经口喂养。与已证实的手术干预措施（如下颌骨牵张成骨术（MDO））进行对比时，至少有一项研究表明，PEBP在治疗中度UAO婴儿方面可能同样有效。此外，与接受MDO的婴儿相比，使用PEBP可能会改善喂养和生长结果。
本文总结了新生儿舌根梗阻不断发展的非手术治疗选择的现状，在合适的患者群体中，这是手术治疗的一个令人兴奋的替代方法。
