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KJO Korean Journal of Orthodontics

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pISSN 2234-7518
eISSN 2005-372X
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Korean J Orthod

Published online April 22, 2022

Copyright © The Korean Association of Orthodontists.

Split orthodontic airway plate: An innovation to the utilization method of conventional orthodontic airway plate for neonates with Robin sequence

HyeRan Chooa, Seong-Hun Kimb, Hyo-Won Ahna,b, Christian F. Poetsc, Kyu-Rhim Chungb

aDepartment of Surgery, Division of Plastic and Reconstructive Surgery, Pediatric Craniofacial and Airway Orthodontics and Dental Sleep Medicine, Stanford University School of Medicine, Lucile Packard Children’s Hospital Stanford, Palo Alto, CA, USA
bDepartment of Orthodontics, Kyung Hee University School of Dentistry, Seoul, Korea
cDepartment of Neonatology, Interdisciplinary Center for Craniofacial Malformations, University Hospital, T?bingen University, T?bingen, Germany

Correspondence to:HyeRan Choo.
Clinical Assistant Professor, Department of Surgery, Division of Plastic and Reconstructive Surgery, Pediatric Craniofacial and Airway Orthodontics and Dental Sleep Medicine, Stanford University School of Medicine, Lucile Packard Children’s Hospital Stanford, 730 Welch Rd, 1F, Palo Alto, CA 94304, USA.
Tel +1-650-736-7117 e-mail hchoo@stanford.edu

Received: September 14, 2021; Revised: January 11, 2022; Accepted: January 24, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Since the emergence of neonatal infant orthodontics for treatments of cleft lip and palate with or without Robin sequence (RS) in Europe in the 1950s, advancements in design and scope of its application have been remarkable. As the first institution to adopt orthodontic airway plate (OAP) treatment in the United States in 2019, we saw a need for innovation of the original design to streamline the most labor-intensive and time-consuming aspects of OAP utilization. A solution is introduced using a systematic split expansion mechanism to re-size the OAP periodically to accommodate the neonate’s maxillary growth. To date, seven RS patients have received this modified treatment protocol at our institution. Each patient completed full treatment using only one OAP. This innovative utilization method is aptly named the split orthodontic airway plate (S-OAP). Details of the S-OAP and its modifications from conventional OAP are reported.

Keywords: Airway, Craniofacial anomalies, Cleft lip and palate, Infant obstructive sleep apnea

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Korean J Orthod

Published online April 22, 2022

Copyright © The Korean Association of Orthodontists.

Split orthodontic airway plate: An innovation to the utilization method of conventional orthodontic airway plate for neonates with Robin sequence

HyeRan Chooa, Seong-Hun Kimb, Hyo-Won Ahna,b, Christian F. Poetsc, Kyu-Rhim Chungb

aDepartment of Surgery, Division of Plastic and Reconstructive Surgery, Pediatric Craniofacial and Airway Orthodontics and Dental Sleep Medicine, Stanford University School of Medicine, Lucile Packard Children’s Hospital Stanford, Palo Alto, CA, USA
bDepartment of Orthodontics, Kyung Hee University School of Dentistry, Seoul, Korea
cDepartment of Neonatology, Interdisciplinary Center for Craniofacial Malformations, University Hospital, T?bingen University, T?bingen, Germany

Correspondence to:HyeRan Choo.
Clinical Assistant Professor, Department of Surgery, Division of Plastic and Reconstructive Surgery, Pediatric Craniofacial and Airway Orthodontics and Dental Sleep Medicine, Stanford University School of Medicine, Lucile Packard Children’s Hospital Stanford, 730 Welch Rd, 1F, Palo Alto, CA 94304, USA.
Tel +1-650-736-7117 e-mail hchoo@stanford.edu

Received: September 14, 2021; Revised: January 11, 2022; Accepted: January 24, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Since the emergence of neonatal infant orthodontics for treatments of cleft lip and palate with or without Robin sequence (RS) in Europe in the 1950s, advancements in design and scope of its application have been remarkable. As the first institution to adopt orthodontic airway plate (OAP) treatment in the United States in 2019, we saw a need for innovation of the original design to streamline the most labor-intensive and time-consuming aspects of OAP utilization. A solution is introduced using a systematic split expansion mechanism to re-size the OAP periodically to accommodate the neonate’s maxillary growth. To date, seven RS patients have received this modified treatment protocol at our institution. Each patient completed full treatment using only one OAP. This innovative utilization method is aptly named the split orthodontic airway plate (S-OAP). Details of the S-OAP and its modifications from conventional OAP are reported.

Keywords: Airway, Craniofacial anomalies, Cleft lip and palate, Infant obstructive sleep apnea