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

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.

A Low-Sidelobe-Level Variable Inclination Continuous Transverse Stub Antenna with a Nonlinear Slow-Wave Structure

The sidelobe level (SLL) is an essential performance factor for satellite communication antennas. A low-SLL design can effectively suppress adjacent satellite interference. A low-SLL design method for a variable inclination continuous transverse stub (VICTS) antenna is proposed in this paper. The VICTS antenna is composed of three rotatable parts: a feeding plate, a radiation plate, and a polarization plate. The radiation plate comprises two groups of stubs with different radiation ratios. Combined with the nonlinear slow-wave structure attached to the feeding plate, the radiation ratio of the unit can be adjusted. The aperture field of the VICTS antenna using this method can be tapered in order to suppress the SLL. To verify the effectiveness of this method, the antenna prototype is fabricated and measured in a microwave anechoic chamber. The simulation and the measurement are in good agreement. The reflection coefficient of the antenna is kept below −15 dB and between 13.75 GHz and 14.5 GHz. When the radiation plate and the feeding plate rotate relative to each other, the pattern beam can be scanned from 5° to 70 ° . In the scanning range, the typical SLL can reach −18 dB.

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

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

Feeding Plate of an Eight-day-old Patient Having Veau Type III Cleft Lip and Palate

Congenital Cleft lip and palate is a craniofacial defect which results into difficulty in feeding because of the communication between the oral and nasal cavities. Feeding plate restores the gap between the oral and nasal cavities and helps in feeding and reduces the chances of airway problems, regurgitations. This clinical report describes a design and method of fabricating a feeding plate in an 8-day old neonate with a cleft lip and palate.

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

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.

PREPARATION FOR PALATOPLASTY SURGERY WITH AN ACRYLIC FEEDING OBTURATOR: A CASE REPORT

ABSTRACTBackground: Clefts on the lips and palate are common cases to be found frequently in the field of dentistry. This gap connects the oral cavity and the nasal cavity so that it interferes with the nutritional intake in patients. The age and size of the oral cavity in patients become particular challenges for prosthetic rehabilitation. Another challenge lies at the impression procedure, because it is an essential part in the making of obturator. Objective: To provide information on the management of patient with cleft palate using feeding obturator from acrylic material. Case: A 13-months-old male patient arrived at Prof. Soedomo Gadjah Mada University Dental Hospital with his parents and was seeking for prosthetic therapy to cover the cleft on his palate because it had been muddling with food and beverage intake. Patient had undergone cheiloplasty surgery and further arranged for palatoplasty procedure. Intraoral examination exhibited a cleft extended from hard palate, soft palate, and uvula. Case management: Upper jaw impression was performed for individual tray fabrication, followed by impression procedure in an upright straight position until the patient bawled. The impression result was casted to construct an obturator using acrylic heat cure material. Fitting surface was covered with soft liner. Treatment result showed that the obturator was retentive, stable and able to assist the nutritional intake in patient. Conclusion: Acrylic feeding obturator can recover the condition in patient with cleft palate and improve nutritional intake as well as body weight to prepare patient for palatoplasty surgery.Keywords: Cleft Palate, Feeding Plate, Obturator