Orotracheal Protection

Pala-Nate® Orotracheal Protection

Pala-Nate® is a soft silicone palatal insert that protects a neonate during intubation. The adverse effects of prolonged intubation are numerous and can have permanent negative consequences in speech, dental and orofacial development.


Pala-Nate® is an oral appliance made of silicone, a biocompatible material. It is designed to protect the palate of the intubated infant from the damage which can be caused by pressure from the orotracheal tube.


  • Available in 4 sizes to meet the needs of the smallest premature infant to the largest infant.
  • Made of soft silicone for optimal comfort and protection.
  • Specially designed for proper adherence and fit.
  • Retentive baseplate is well tolerated by infant, and serves to support the feeding tubes in their passage through the mouth.
  • Efficient in reducing spontaneous extubations.
  • Eliminates the need for taking an impression, necessary with custom devices, which increases infant stimulation.
  • Cost effective - Less personnel time involved in maintenance, and much less expensive than custom devices.


The Pala-Nate is indicated for infants requiring orotracheal intubation longer than 24 hours to aid in the prevention of iatrogenic palatal deformation.


• Maxillofacial defects as a result of trauma or surgery.
• Presence of nasal / oral infection.


— Fadavi S, Adeni S, Dziedzic K, Punwani I, Vidyasagar D. The oral effects of orotracheal intubation in prematurely born preschoolers. ASDC J Dent Child. 1992 Nov-Dec;59(6):420-4.
— Angelos GM, Smith DR, Jorgenson R, Sweeney EA. Oral complications associated with neonatal oral tracheal intubation: a critical review. Pediatr Dent. 1989 Jun;11(2):133-40.
— Ash SP, Moss JP. An Investigation of the Features of the Pre-term Infant Palate and the Effect of Prolonged Orotracheal Intubation with and without Protective Appliances.Br J Orthod. 1987 Nov;14(4):253-61.

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