Evidence and practical aspects of treatment with the Tübingen palatal plate

Cornelia Wiechers; Jörg Arand; Bernd Koos; Christian F Poets

doi:10.1016/j.siny.2021.101281

Evidence and practical aspects of treatment with the Tübingen palatal plate

Semin Fetal Neonatal Med. 2021 Dec;26(6):101281. doi: 10.1016/j.siny.2021.101281. Epub 2021 Sep 20.

Authors

Cornelia Wiechers¹, Jörg Arand², Bernd Koos³, Christian F Poets⁴

Affiliations

¹ Department of Neonatology, Tuebingen University Hospital, Tuebingen, Germany; Interdisciplinary Center for Craniofacial Malformations, Tuebingen University Hospital, Tuebingen, Germany. Electronic address: [email protected].
² Department of Neonatology, Tuebingen University Hospital, Tuebingen, Germany; Interdisciplinary Center for Craniofacial Malformations, Tuebingen University Hospital, Tuebingen, Germany. Electronic address: [email protected].
³ Interdisciplinary Center for Craniofacial Malformations, Tuebingen University Hospital, Tuebingen, Germany; Department of Orthodontics, Tuebingen University Hospital, Tuebingen, Germany. Electronic address: [email protected].
⁴ Department of Neonatology, Tuebingen University Hospital, Tuebingen, Germany; Interdisciplinary Center for Craniofacial Malformations, Tuebingen University Hospital, Tuebingen, Germany. Electronic address: [email protected].

PMID: 34602352
DOI: 10.1016/j.siny.2021.101281

Abstract

The Tübingen therapy concept centers on an individual orthodontic palatal plate with a spur-like velar extension (Tübingen Palatal or Epiglottic Baton Plate, TPP or PEBP) and intensive feeding training. It was primarily developed for infants with Robin sequence, but has since also be used successfully in infants with other craniofacial malformations. TPP improves not only upper airway obstruction, but also feeding problems, thriving, mandibular growth and was associated with intact neurocognitive outcome. This review provides an overview of the evidence and the clinical and practical aspects of the Tübingen therapy concept.

Publication types

Review

MeSH terms

Airway Obstruction* / therapy
Humans
Infant
Pierre Robin Syndrome* / complications
Treatment Outcome