scholarly journals A Feeding Appliance for an Infant with Cleft Palate

2017 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Gediminas Zekonis ◽  
Egle Zukauskaite ◽  
Vilte Masiliunaite ◽  
Agne Dzingute
Keyword(s):  
Cleft Palate ◽  
Growth And Development ◽  
Cleft Lip ◽  
Scar Tissue ◽  
Congenital Deformities ◽  
Orofacial Region ◽  
Negative Effect ◽  
Feeding Plate ◽  
Palatal Obturator ◽  
Intraoral Pressure

Cleft palate and cleft lip are the most common congenital deformities involving the orofacial region. One of the most important problems with this deformation is difficulties with feeding due to lack of sufficient negative intraoral pressure which prevents regurgitation of food into the nasal cavity. Cleft lip and cleft palate can be surgically treated but repair of the palate is usually delayed until 6 months to 2 years of age. Early repair of the palate may have a negative effect on the growth and development of maxilla due to the resulting scar tissue. This article presents the Prosthodontic management of an infant with a cleft palate through fabricating a feeding plate (palatal obturator). Keywords: Cleft palate, Feeding plate, Palatal obturator

scholarly journals FEEDING PLATE: A BOON TO CLEFT PALATE CHILD AND MOTHER TOO - CASE REPORT

2021 ◽  
Vol 9 (11) ◽  
pp. 836-845
Author(s):  
Manoranjan Mahakur ◽  
Silpa Tarenia ◽  
Louis Solaman Simon ◽  
Anusuya Mishra ◽  
Deepika U. ◽  
...  
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Family Members ◽  
Chief Complaint ◽  
Feeding Plate

Now a days many children are affected with cleft lip and palate due to multifactorial etiology. Among all the problems of cleft lip and palate, the most important is feeding and nutrition to the child. If a child will not be able to take mother milk after birth then definitely it will hamper the immunity and development of the baby and also it will greatly depress the psychology of mother and other family members. The aim of this article is to present a case of cleft lip and palate baby of 5 days old whose mother chief complaint was that I could not feed my child, and how he was rehabilitated with a feeding plate and made easy for the mother to feed her milk.

scholarly journals Study of the distribution of different types of cleft lip and palate and associated anomalies

2014 ◽  
Vol 03 (04) ◽  
pp. 203-208
Author(s):  
Alpana Barman ◽  
B C Dutta ◽  
J K Sarkar
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Type I ◽  
Type Ii ◽  
Associated Anomalies ◽  
Type Iii ◽  
Congenital Deformities ◽  
Different Types ◽  
Isolated Cleft Palate

Abstract Background : Cleft lip and palate are some of the most common congenital deformities. They frequently occur as isolated deformities, but can be associated with other medical conditions and anomalies. Aim of the study: To study the distribution of different types of cleft lip and palate and associated anomalies. Materials and methods: Forty patients of cleft lip and palate were studied. Relevant history was taken, clinical examination done and recorded with photography with consent. The cases were classified as per Nagpur Classification. Results: In our study 24 cases (60%) were cleft lip and palate (type III) and 10 cases (25%) of cleft palate alone (type II) and 6 cases (15%) of cleft lip alone (type I). Males were found to predominate in type I and III. Females predominated in type II. Among the cleft lip, left side is found to be involved in most of the cases. In our study, out of 40 cases, 8 cases (20%) had other associated anomalies. Most of these were associated with cleft lip and palate (type III) and isolated cleft palate (type II). Conclusion: The typical universal distribution of cleft types and associated anomalies tallies with our results.

scholarly journals Knowledge and practice of feeding plate obturators among medical doctors in Kanti children’s hospital

2021 ◽  
Vol 4 (1) ◽  
pp. 20-28
Author(s):  
B Pathak ◽  
KR Joshi ◽  
S Bhattarai ◽  
H Joshi
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Treatment Protocol ◽  
Medical Doctors ◽  
Feeding Difficulties ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Knowledge And Practice ◽  
Feeding Plate ◽  
Study Participants

Introduction: Cleft lip and cleft palate (CLCP) affects several systems and functions of the child and result in social and psychological problems.Therefore early repair of CLCP is imperative. Every cleft center follows its own surgical treatment protocol. Before closure of palatal defects, babies with cleft palate have great difficulty in feeding. To overcome this feeding difficulties, use of special bottles, nipples, initial palatal obturator therapy are used. The first exposure of those children are primarily the medical doctors including pediatricians from where they are generally referred to the concerned speciality for repair of CLCP. The aim of this study was to assess the knowledge and practice of orofacial clefts and feeding plate obturator among medical doctors working in Kanti Children’s Hospital (KCH). Method: This was a questionnaire based survey among medical doctors working in KCH. The pretested questionnaire with 7 questions each on the knowledge and practice of feeding plate obturator was distributed among the medical doctors and data was collected. The data collected were subjected to statistical analysis using frequency of responses and percentages. Results: Of the total 57 study participants, 32 (56.1%) were males and 25 (43.9%) were females. Majority i.e. 61.4% belonged to 31-40 years age group. 91.2% study participants faced the cleft lip/ palate related feeding difficulties 0-5 times/month while 5 (8.8%) faced this condition 6-10 times/ month. Majority of the infants who were less than 28 days (43.9%) attended the OPD due to difficultyin feeding/ swallowing (57.9%) followed by regurgitation/ aspiration (22.8%). 49.1% of the participants thought feeding plate oburator as the best way to feed a cleft patient on discharge from hospital. In their clinical practice, three fourth of paticipants (70.2%) had never seen a patient with feeding plate obturator, half of the participants (50.9%) didn’t advise for feeding plate obturator for patients withcleft palate and 89.5% were not aware of the replacement of feeding plate obturator. Conclusion: There is low exposure regarding the feeding plate obturator among medical doctors in KCH which needs to be reinforced through meaningful continuing education and training programs.

scholarly journals An Alternative Impression Technique for Fabrication of Feeding Appliance for an Infant with Cleft Palate: A Clinical Report

2020 ◽  
Vol 3 (2) ◽  
pp. 115-119
Author(s):  
S Dhital ◽  
S R.B. Mathema ◽  
B Maskey
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Intervention ◽  
Clinical Report ◽  
Alternative Technique ◽  
Impression Material ◽  
Crucial Step ◽  
Orofacial Region ◽  
Selection Of

Cleft lip and palate is the most common congenital defect of the orofacial region, which results in difficulty in feeding, deglutition, and speech. Before the surgical intervention, a feeding appliance is used to restore the palatal cleft and aid in feeding an infant. The impression procedure during the fabrication of a feeding appliance is a crucial step and selection of impression tray and impression material is a challenging task. This article attempts to briefly describe an alternative technique for making impressions in infants with cleft palate.

scholarly journals Feeding Appliance for an Infant with Cleft Palate: A Case Report

2021 ◽  
Vol 6 (4) ◽  
pp. 71-75
Author(s):  
Hilal Ahmad Hela ◽  
Shazana Nazir ◽  
Mehvash Qazi
Keyword(s):  
Case Report ◽  
Environmental Factors ◽  
Cleft Palate ◽  
Cleft Lip ◽  
The Other ◽  
Nutritional Deficiencies ◽  
Chromosomal Disorders ◽  
The Face ◽  
Feeding Plate ◽  
Proper Weight

The cleft palate is a ‘‘congenital defect of the middle third of the face that occurs when an oro-nasal communication is present between the palate and the base of the nose. Single genes, chromosomal disorders or environmental factors may cause clefts. The other possible causes are hormonal imbalances, nutritional deficiencies, infections, radiation during pregnancy, alcohol or cigarette consumption, the ingestion of other teratogenic substances by the mother, and heredity. Immediate problems to be addressed in a new born with this defect would be to aid in suckling and swallowing other problems associated later would be difficulty in speech, altered appearance, many dental problems and psychological problems. Feeding plate (obturator) rehabilitates the oro-nasal gap and helps in feeding and in reduction of airway problems, frequent infections and regurgitations. This paper presents a case report of an infant with cleft palate (Veau II) in whom a feeding plate was delivered, with a simple impression method, which helped the infant feed and restores the proper weight required for cleft palate reconstructive surgery in future. Keywords: Cleft Lip, Cleft Palate, Infant, Obturator

Cleft Lip and Palate: Association with Other Congenital Malformations

2009 ◽  
Vol 33 (3) ◽  
pp. 207-210 ◽  
Author(s):  
Soraya Beriaghi ◽  
Sandra Myers ◽  
Scott Jensen ◽  
Shanti Kaimal ◽  
Cynthia Chan ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Congenital Malformations ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Diagnostic Testing ◽  
Research Hospital ◽  
Orofacial Clefting ◽  
Orofacial Region ◽  
Associated Malformations ◽  
Hospital Study

Orofacial clefts are frequently associated with other congenital malformations. Studies vary in incidence and types of anomalies. Objective: To evaluate associated malformations in orofacial cleft patients at a major research hospital. Study Design: Medical records of 1127 patients, in the Cleft Palate / Craniofacial Clinic, Boys Town National Research Hospital, from January 1980 through February 2000 were reviewed. Patients were divided into two categories: 1) cleft palate only (CP), and 2) cleft lip, with or without cleft palate (CL±P). Further categorization included location and type, if any, of other congenital malformations.Results: 47.2% of patients had CP and 52.8% had CL±P. 32.2% of all cleft patients had associated congenital malformations. The orofacial region was the most common site, followed by cardiovascular, central nervous, and skeletal systems. Congenital malformations were more common in CP (38.7%), than CL±P(26.4%). Of malformations diagnosed, 63.1% were chromosomal/syndromic anomalies while 36.9% were non-chromosomal/syndromic. Conclusions: Recognition of the spectrum of congenital malformations,associated with orofacial clefting, is essential for further diagnostic testing and in some cases genetic counseling.

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