Alimentação da criança no pós-operatório imediato de palatoplastia: comparação entre as técnicas utilizando copo e colher

Abstract

This prospective study conducted at the Hospital for the Rehabilitation of Craniofacial Anomalies aimed to compare the best technique - a cup or a spoon - for feeding children immediately after palatoplasty. We assessed 44 children and their caregivers during feeding every 4 hours; this generated 176 evaluations: 88 using a cup and 88 using a spoon. The Fisher exact test and the Mann-Whitney test were used for statistical analysis, with a significance level of 5% (p<0.05). When the spoon was used, the percentage of patients with food escaping through the labial commissure was lower (17%; p=0.024, the portion administrated was higher (12%; p=0.029), and coughing was less frequent (13%; p=0.026) compared with use of a cup. We conclude that using a spoon to administer food after palatoplasty is better than using a cup.

Palatoplasty in children: nursing diagnoses and interventions related to the immediate postoperative period

“…In addition to the factors mentioned above, the impossibility of using utensils such as baby bottles and pacifiers, which until then were common, increased the difficulty of accepting food. In this sense, to minimize this problem, the use of these utensils shall be discouraged before the surgical procedure, being replaced by a cup or spoon ( 10 , 26 ) . Moreover, it is essential to establish analgesia protocols, aiming to minimize pain.…”

Importância da Equipe Multiprofissional para a recuperação da criança com fenda labiopalatina

“…Por volta de um mês, houve uma rápida cicatrização e sua recuperação estava dentro do esperado, podendo retornar a alimentação normal. 8 A segunda cirurgia foi feita com um intervalo de aproximadamente 6 meses da primeira, segundo o pai da criança. Foi realizada a correção do fechamento parcial do palato (como mostra a figura 3) e a internação ocorreu da mesma forma que a primeira, ficando no hospital por apenas 3 dias, levando a mudanças na alimentação da criança, sendo necessário seguir todas as orientações médicas para que a recuperação fosse total.…”