A Randomized Control Trial Investigating the Effect of Presurgical Orthopedics on Feeding in Infants with Cleft Lip and/or Palate

Masarei, Anthea; Wade, Angie; Mars, Michael; Sommerlad, Brian C.; Sell, Debbie

doi:10.1597/05-184.1

Cited by 54 publications

(63 citation statements)

References 40 publications

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“…The survey strategy resulted in 319 articles, of which 12 were qualified for the final analysis in the first survey (eight RCTs, four CCTs) (Karling et al, 1993;Ross and MacNamera, 1994;Chan et al, 2003;Konst et al, 2003b;Bongaarts et al, 2004;Prahl et al, 2005Prahl et al, , 2008Bongaarts et al, 2006;Masarei et al, 2007;Bongaarts et al, 2008;Barillas et al, 2009;Bongaarts et al, 2009).…”

Section: Resultsmentioning

confidence: 99%

“…In these two studies, both with the level of evidence 1b, two different surgical protocols were used and two different types of PSIO appliances were evaluated with different measurement methods. Masarei et al (2007) evaluated patients with isolated cleft beside unilateral CLP (UCLP). Based on the results of the two RCTs, which were consistent with each other, PSIO with passive and active appliances had no positive effects on feeding or consequent nutritional status in patients with UCLP.…”

Section: Feedingmentioning

confidence: 99%

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Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review

Uzel¹,

Alparslan

2011

The Cleft Palate Craniofacial Journal

107

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Objective: This study aimed to assess the scientific evidence on the efficiency of presurgical infant orthopedic appliances in patients with cleft lip and palate to shed light on a specific, contemporary discussion of whether the appliances have long-term advantages with respect to treatment outcomes.Design: A systematic review. Methods: Two literature surveys from the five electronic databases were performed with a 1-month interval. Randomized controlled trials and controlled clinical trials (controls had no presurgical infant orthopedics) that had followup periods of a minimum of 6 years were included in the study. The exceptions to the follow-up limit were studies related to feeding and parent satisfaction.Results: Of the 319 articles retrieved in the literature surveys, 12 were qualified for the final analysis. The level of evidence of these articles ranged from 1b to 4. Eight randomized controlled trials and four controlled clinical trials were available on eight treatment outcomes. The longest follow-up period of the randomized controlled trials was 6 years. No randomized controlled trials were found on active presurgical infant orthopedic appliances and on nasoalveolar molding appliances.Conclusions: Based on the results, presurgical infant orthopedic appliances have no long-term positive effects on seven of the eight studied treatment outcomes in patients with cleft lip and palate. More randomized controlled trials need to be done to have evidence regarding the effects of presurgical infant orthopedics in different surgical protocols. Also, the encouraging results about the effect of nasolaveolar molding appliances on nasal symmetry have to be supported by future randomized controlled trials.

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Section: Resultsmentioning

confidence: 99%

Section: Feedingmentioning

confidence: 99%

Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review

Uzel¹,

Alparslan

2011

The Cleft Palate Craniofacial Journal

107

View full text Add to dashboard Cite

show abstract

“…A recent study including 34 children with an isolated CLP/CP does not show a growth benefit following the use of a palatine plate in the first 6 months of life [27]. We do not use a palatine plate; we did not note a particular advantage with this type of plate.…”

Section: Figs 2 and 4 Height (Above) And Weight (Below) Curves In Bmentioning

confidence: 60%

Growth in infants in the first two years of life after neonatal repair for unilateral cleft lip and palate

Mcheik

Levard

2010

International Journal of Pediatric Otorhinolaryngology

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“…Various methods of feeding cleft lip and palate babies have been investigated in previous studies to determine if weight gain and feeding efficiency could be improved 2,4,[9][10][11]13,14,17,19,22,23,25,29 . This aim of this study was to determine if syringe fed cleft babies gained more weight than those fed with cup and spoon and if feeding efficiency was improved.…”

Section: Discussionmentioning

confidence: 99%

Feeding intervention in cleft lip and palate babies: a practical approach to feeding efficiency and weight gain

Ize-Iyamu

Saheeb

2011

International Journal of Oral and Maxillofacial Surgery

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A Randomized Control Trial Investigating the Effect of Presurgical Orthopedics on Feeding in Infants with Cleft Lip and/or Palate

Abstract: Presurgical orthopedics did not improve feeding efficiency or general body growth within the first year in either group of infants.

Cited by 54 publications

References 40 publications

Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review

Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review

Growth in infants in the first two years of life after neonatal repair for unilateral cleft lip and palate

Feeding intervention in cleft lip and palate babies: a practical approach to feeding efficiency and weight gain

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