Weight Gain in Children with Cleft Lip and Palate without Use of Palatal Plates

Abstract

Goals/Background. To evaluate children's growth in the first year of life, who have cleft palate and lip, without the use of palatal plates. Materials/Method. Chart review was conducted, retrospectively, in the Center for Integral Assistance of Cleft Lip and Palate (CAIF), in Brazil, between 2008 and 2009. Results for both genders were compared to the data published by the World Health Organization (WHO) regarding average weight gain in children during their first year of life. Results. Patients with syndromic diagnosis and with cleft classified as preforamen were excluded, resulting in a final number of 112 patients: 56 male and 56 female. Similar patterns were seen comparing the two genders. Although it was observed weight gain below the average until the 11th month in male patients and until 9 months in female patients, both genders remained at the 50th percentile (p50) and improved after the 4th month of age for boys and the 9th month of age for girls. Conclusion. Children with cleft palate weigh less than regular children during their first months of life. At the end of the first year, weight gain is similar comparing normal and affected children. However, factors that optimized weight gain included choosing the best treatment for each case, proper guidance, and multiprofessional integrated care.

Weight Gain in Infants With Pierre Robin Sequence in the First Year of Life

“…15,24-27 In the common occurrence of PRS with CP, an inability to generate adequate suction further exacerbates feeding inefficiency. 28-30 For this reason, failure to thrive among children with PRS is frequently implicated as an indication for surgical intervention. The simplest approach, gastrostomy tube placement, only provides a mechanism for delivering additional calories.…”

“…The presence of a palatal cleft causes an infant to have difficulty with generating negative intraoral pressure, or suction. 28-30 Coupled with the lack of parental experience in cleft feeding systems and proper techniques for the utilization thereof, the risk for malnutrition is greatly increased among infants with CP. 15,28,33 After the first few months of adjustments by both the infant and the parents, however, a child’s weight deficit usually resolves.…”

“…28-30 Coupled with the lack of parental experience in cleft feeding systems and proper techniques for the utilization thereof, the risk for malnutrition is greatly increased among infants with CP. 15,28,33 After the first few months of adjustments by both the infant and the parents, however, a child’s weight deficit usually resolves. 15,28,33,34 Thus, typical growth for children with CP includes an initial decelerated growth phase followed by a subsequent catch-up phase.…”

Malnutrition in Children With Unrepaired Orofacial Cleft: A Systematic Review

“…al., 2016; Da Silva Freitas et al, 2012; Reid, 2004; Avedian and Ruberg, 1980).Although CP±L children have more impaired BMI and weight-for-age growth compared to their ICL counterparts, the former experience a 'catch-up' growth, even without palatoplasty, beginning from the 9 th month to the 13 th month by which time the growth of the two groups are similar and close to the growth of normal children(Miranda et al, 2016;Da Silva Freitas et al, 2012) and this presents the possibility of affected children achieving adequate nutritional status when properly stimulated and supported Miranda et al (2016). surmised that it could be a case of CP±L infants getting adapted to their anomaly with time.…”

Tratamiento y control de salud de niños con fisura labio alvéolo palatina, nacidos en 2015-2016 en el subsector público en Argentina

“…De varios estudios realizados en Brasil, uno mostró que al año, los niños recuperaban la curva de peso adecuada a la edad (235), otro indicó que los niños recuperaban su crecimiento (sobre todo para el peso) alrededor de los dos años (232). Un tercer trabajo en el sur de Brasil resaltó que el mal progreso de peso fue el principal motivo de las demoras en llegar a la cirugía y que esto se asociaba con la escasa preparación que se les había dado a los padres sobre métodos alternativos para alimentar a los niños (236).…”