A feeding appliance for a newborn with Veau Type III cleft lip and palate: A case report

Jayanna, Rashmi; Kumar, G. Kishore; Ahuja, Vipin; Patel, Supreeya; Qamar, Seema

doi:10.38138/jmdr/v6i2.14

Cited by 2 publications

(2 citation statements)

References 10 publications

(14 reference statements)

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“…Inadequate feeding affects growth and it leads to stress and anxiety in parents. 5 Thus, a successful rehabilitation of Cleft lip and palate in neonates were achieved with flexible and soft feeding appliance. A treatment that reduced the apprehension of the parent's and provided infant a good suction around nipple which improvised feeding efficiency.…”

Section: Discussionmentioning

confidence: 99%

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Flexible obturator in neonates with unilateral cleft lip and palate: Two case reports

Barjatya

Masih²,

Chand³

et al. 2022

APRD

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Inborn cleft lip and palate is utmost encountered craniofacial anomaly. The ultimate issue a newborn with cleft lip and palate faces is the crisis in feeding, nasal puke and choking which additionally leads to nutrition scarcity and ultimately affects the overall grown of an infant. Feeding obturator bridges the space and facilitates feeding. This clinical case series demonstrates construction of a flexible obturator in 18 days old and 2 months old baby with cleft lip and palate. (Veau type III)

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Section: Discussionmentioning

confidence: 99%

“…The feeding becomes difficult because of nasal regurgitation and more air intake that demands recurrent burping and choking. 5 A feeding obturator is a pleasing option for infants. The appliance occlude the cleft, hence, the child can build a seal around the nipple and suck the milk thus keeping him nourished.…”

Section: Introductionmentioning

confidence: 99%

Flexible obturator in neonates with unilateral cleft lip and palate: Two case reports

Barjatya

Masih²,

Chand³

et al. 2022

APRD

View full text Add to dashboard Cite

show abstract

The Use of Ultrasound-Guided 3D-Constructed Obturator Device in the Management of Cleft Lip and Palate: A Case Series

Muddasani,

Kamalakannan,

et al. 2024

Cureus

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Oral clefts represent a significant craniofacial anomaly in neonates, presenting multifaceted challenges such as feeding difficulties, recurrent ear infections, speech impediments, poor growth, hearing impairments, and dental misalignments. These anomalies not only affect physical health but also have profound psychosocial implications for affected individuals and their families. Current management strategies aim to address these challenges comprehensively, and recent advancements in technology have offered innovative solutions. Among these, the integration of ultrasound-guided (USG) three-dimensional (3D)-constructed obturator devices has emerged as a promising approach to enhancing patient outcomes, particularly in achieving facial symmetry and facilitating early nutritional rehabilitation. This study presents a detailed case series of three term infants born to non-consanguineous parents with appropriate birth weights for their gestational age, each diagnosed with a unilateral cleft lip and palate (UCLP). The first infant also presented with left-hand polydactyly and a preauricular sinus, while the second was diagnosed with multicystic kidney disease based on kidney, ureter, and bladder (KUB) scan findings. Collaborating with the Smile Train organization and the maxillofacial surgery team, a comprehensive management plan was devised. In the initial phase, intraoral scanning (Medit Intraoral Scanner™, Seoul, South Korea; done at Saveetha Medical College and Hospitals, Chennai) and digital printing of the obturator plate were performed to capture precise anatomical details. Subsequently, 3D printing technology (Ender 3D Printer™, Creality, Shenzhen, China; done at Saveetha Medical College and Hospitals, Chennai) was employed to fabricate a customized obturator plate equipped with a nasal stent. This ultrasound (US)-guided 3D-constructed obturator device was designed to fit each infant's unique oral anatomy, providing optimal support and alignment. The implementation of this device within a week post birth played a pivotal role in expediting the initiation of direct breastfeeding and nutritional rehabilitation. Furthermore, one of the infants underwent cleft lip surgical repair at four months of age, showcasing the device's compatibility with subsequent surgical interventions. The utilization of US-guided 3D-constructed obturator devices in the management of cleft lip and palate (CLP) has demonstrated significant clinical benefits. These devices contribute to reduced facial deformities, mitigate nasal cartilage sagging, and foster enhanced weight gain. Additionally, they facilitate successful breastfeeding, thereby promoting early nutritional recovery. Moreover, the improved facial symmetry and cheek fullness resulting from this approach contribute to accelerated rehabilitation, thereby reducing the societal stigma often associated with craniofacial anomalies.

show abstract

A feeding appliance for a newborn with Veau Type III cleft lip and palate: A case report

Cited by 2 publications

References 10 publications

Flexible obturator in neonates with unilateral cleft lip and palate: Two case reports

Flexible obturator in neonates with unilateral cleft lip and palate: Two case reports

The Use of Ultrasound-Guided 3D-Constructed Obturator Device in the Management of Cleft Lip and Palate: A Case Series

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