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Design: Single-surgeon retrospective analysis in a tertiary care setting. Patients: Twenty-five RS patients treated with PEBP and primary cleft palate repair between 2010 and 2019. Main outcomes: Hypernasality, nasal emission, nasal turbulence, voice quality, and consonant production at 3.5–4.5 years, plus digital cast model comparisons to quantify cleft narrowing. Results showed 41.30% mean cleft width reduction and largely absent or mild hypernasality.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/speech-outcomes-in-children-with-robin-sequence-treated-with-a-pre-epiglottic-baton-plate/406143/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/speech-outcomes-in-children-with-robin-sequence-treated-with-a-pre-epiglottic-baton-plate/406143.png","ImageObject",300,407,{"name":92,"@type":93},"Riley West","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the objective of the study?","Question",{"text":112,"@type":113},"To analyze speech outcomes and cleft shape changes in children with Robin sequence treated with a customized pre-epiglottic baton plate.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were speech outcomes measured?",{"text":117,"@type":113},"Speech was assessed at around 3.5 to 4.5 years, documenting hypernasality, nasal emission, nasal turbulence, voice quality, and consonant production.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the study find regarding cleft palate width and speech results?",{"text":121,"@type":113},"Children treated with PEBP showed narrowing of the cleft palate prior to timely surgical repair, alongside favorable speech outcomes at a young age.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},406143,1790874084,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},1099523885074,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Original article  \nSpeech Outcomes in Children with Robin Sequence Treated with a Pre-Epiglottic Baton Plate  \nGül Schmidt, MD, DMD 1,*, Nora Engeli, PhD 1,*, Carsten Matuschek, PhD 1  ,  \nChrista Hunn-Stohwasser, MD, DMD 1, Carolin Bestendonk, MD, DMD 1, Max Heiland, MD, DMD 1 , Anke Hirschfelder, MD2,\\#,  \nand Elena Hofmann, MD, DMD 1,3,\\#   \nThe Cleft Palate Craniofacial Journal 2026, Vol. 63(2) 253‐262  \n© 2024, American Cleft Palate Craniofacial Association  \nArticle reuse guidelines: [sagepub.com/journals-permissions](sagepub.com/journals-permissions)[ ](sagepub.com/journals-permissions)[DOI: 10.1177/10556656241298430](DOI: 10.1177/10556656241298430)[ ](DOI: 10.1177/10556656241298430)[journals.sagepub.com/home/cpc](journals.sagepub.com/home/cpc)  \nAbstract  \nObjective: To analyze speech outcomes and cleft shape changes in children diagnosed with Robin sequence (RS) treated with a customized pre-epiglottic baton plate (PEBP).  \nDesign: Single-surgeon retrospective analysis.  \nSetting: Tertiary care institution.  \nPatients and Participants: Twenty-five patients with RS who were treated with PEBP and primary cleft palate repair between2010and2019.  \nInterventions: Postnatal use of a PEBP.  \nMain Outcome Measures: Speech assessment at the age of 3.5 to 4.5 years documenting hypernasality, nasal emission, nasal turbulence, voice quality, and consonant production, and analysis of digitally scanned cast models before and after the use of PEBP to quantify changes in cleft shape and width.  \nResults: The study cohort(N = 25)consisted of19patients with hard and soft cleft palatesand6patients with soft cleft palate only and postnatal use of PEBP. The mean reduction incleft width following PEBP treatment prior tocleft palate repair in 19infants with hard and soft cleft palates was41.30%(standard deviation,13.25). Speech assessments were conducted ata mean age of48.5months in all25children treated with PEBP. Most children presented with absent or mild hypernasality (96%), a rate of 8% of nasal emission and 4% of nasal turbulence was found. The most frequent findings were articulation errors in 14 children (56%), of whom 2 presented with cleft-type characteristics.  \nConclusions: Children with RS and cleft palate treated with PEBP demonstrated a narrowing of the cleft palate prior to a timely surgical repair, and favorable speech outcomes already at a young age during childhood.  \nKeywords  \nPierre Robin sequence, speech assessment, cleft palate  \nIntroduction  \nWith a prevalence of 1 case per 8500 to 14 000 live births, 1–3 Robin sequence (RS) is a rare condition characterized by the triad of nasal airway obstruction (NAO), micrognathia, and glossoptosis, first described by Pierre Robin.4 Most infants with RS (up to 85%) present with a cleft palate, which is often U-shaped in RS.5,6 The initial term syndrome was later changed into sequence based on the series of mandibular hypoplasia leading to a small mouth opening with a long-lasting entrapment of the tongue, and the secondary abnormal position of the tongue impeding the palatal fusion.5,7  \n1 Department of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and HumboldtUniversität zu Berlin, Berlin, Germany  \n2 Department of Phoniatrics and Pedaudiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and HumboldtUniversität zu Berlin, Berlin, Germany  \n3 BIH Biomedical Innovation Academy, BIH Charité Junior Clinician Scientist Program, Berlin Institute of Health at Charité-Universitätsmedizin Berlin, Berlin, Germany  \n*These authors share first authorship.  \n\\#  \nThese authors share senior authorship.  \nCorresponding Author:  \nGül Schmidt, Department of Oral and Maxillofacial Surgery, CharitéUniversitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.  \nEmail: [guel.schmidt@charite.de](guel.schmidt","cbCaigvAlA8rIqbf","https://ap.wps.com/l/cbCaigvAlA8rIqbf","pdf",1656198,"English","# Abstract\n## Objective and design\n## Patients and interventions\n## Main outcomes and results\n## Conclusions\n# Introduction","[{\"question\":\"What was the objective of the study?\",\"answer\":\"To analyze speech outcomes and cleft shape changes in children with Robin sequence treated with a customized pre-epiglottic baton plate.\"},{\"question\":\"How were speech outcomes measured?\",\"answer\":\"Speech was assessed at around 3.5 to 4.5 years, documenting hypernasality, nasal emission, nasal turbulence, voice quality, and consonant production.\"},{\"question\":\"What did the study find regarding cleft palate width and speech results?\",\"answer\":\"Children treated with PEBP showed narrowing of the cleft palate prior to timely surgical repair, alongside favorable speech outcomes at a young age.\"}]","Speech Outcomes in Children with Robin Sequence Treated with a Pre-Epiglottic Baton Plate | PDF",1790563794,25]