BACKGROUND Robin sequence (RS) is characterized by mandibular micro- and retrognathia, glossoptosis, upper airway obstruction and optionally a cleft palate. With an incidence of 1:8000, it belongs to the so-called rare diseases; 30-50% of patients have RS as part of a syndrome. A comparatively well-studied treatment option is the Tuebingen Palatal Plate (TPP), which has proven effective in both, isolated and syndromic RS, but often requires multiple endoscopies for perfect fit and effectiveness. We report on a new method for fitting the TPP with only one session of nasopharyngeal endoscopy resulting in the plate being finished in one day. METHODS AND RESULTS First, a prototype is produced, consisting of a traditional acrylic palatal part and a velar extension made of thermoplastic resin, usually measuring 10x40mm. Using polymerization, a scale is added to the posterior part of the extension to help with determining its optimal length during endoscopic evaluation. The extension is pre-bent in the dental laboratory to achieve an approximate shape. During endoscopy, the prototype can be adjusted to the infant's anatomy: first, the angulation is customized by controlled heating, bending and cooling of the thermoplastic spur. Second, the length of the spur is adapted by grinding its tip. Then the prototype is returned to the dental laboratory for completion; the final plate can be delivered to the patient on the same day. It acts by shifting the tongue into a more anterior position, thereby opening the airway and releasing upper airway obstruction, as well as by acting as a functional orthodontic appliance that stimulates mandibular growth through exerting pressure on the base of the tongue. CONCLUSIONS With the thermoplastic spur presented here, a TPP can be produced within one day, requiring only one endoscopy. This approach may facilitate fabricating the TPP.

中文翻译：

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采用 Robin 序列制造婴儿 Tuebingen 腭板的创新方法。


背景知更鸟序列(RS)的特征是下颌微缩和下颌后缩、舌下垂、上气道阻塞和任选的腭裂。发病率为1：8000，属于所谓罕见病； 30-50% 的患者患有 RS，这是一种综合征的一部分。一种研究相对充分的治疗选择是 Tuebingen 腭板 (TPP)，它已被证明对孤立性 RS 和综合征性 RS 均有效，但通常需要多次内窥镜检查才能完美贴合和有效。我们报告了一种只需进行一次鼻咽内窥镜检查即可安装 TPP 的新方法，从而使板在一天内完成。方法和结果首先，制作一个原型，由传统的丙烯酸腭部件和由热塑性树脂制成的腭延长部分组成，通常尺寸为10x40mm。通过聚合，将刻度添加到延伸件的后部，以帮助在内窥镜评估期间确定其最佳长度。加长部分在牙科实验室中预弯曲以达到近似形状。在内窥镜检查期间，原型可以根据婴儿的解剖结构进行调整：首先，通过控制热塑性骨刺的加热、弯曲和冷却来定制角度。其次，通过磨削尖头来调整尖刺的长度。然后将原型送回牙科实验室完成；最终的盘子可以在同一天交付给患者。它的作用是将舌头移至更靠前的位置，从而打开气道并释放上气道阻塞，并充当功能性正畸矫治器，通过对舌根施加压力来刺激下颌生长。 结论 使用此处介绍的热塑性骨刺，可在一天内生产出 TPP，仅需要一次内窥镜检查。这种方法可以促进 TPP 的制造。