Treatment of infants with Pierre Robin syndrome using the orthodontic device PEBP (pre-epiglottic baton plate)

Objective To evaluate the effectiveness of the method of treatment of Pierre Robin syndrome using the orthodontic device PEBP (pre-epiglottic baton plate). Materials and methods The study involved 5 patients with moderate SPD aged 1 to 3 months. All patients showed signs of respiratory failure and impaired swallowing. Respiratory failure was assessed based on oxygen concentration by pulse oximetry, respiratory rate (BPD), and skin color. Swallowing was evaluated for the possibility of taking food through the mouth and refusing a nasogastric tube. To eliminate violations, the orthodontic device PEBP was used, which was made in the dental laboratory from plastic and metal ligatures. Results Against the background of treatment with an orthodontic device, there was an increase in blood oxygen levels, a decrease in BPD, and normalization of skin color. In all patients, in the first two days from the start of treatment, nutrition was restored through the oral cavity and the ability to refuse nutrition through a nasogastric tube. Conclusions The use of the PEBP orthodontic device makes it possible to effectively eliminate respiratory and nutritional disorders in the first months in patients with SPD.