Evidence and practical aspects of treatment with the Tübingen palatal plate.

Abstract The Tubingen therapy concept centered on an individual orthodontic palatal plate with a spur-like velar extension (Tubingen 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 Tubingen therapy concept.