Failure to thrive in babies with cleft lip and palate

Pandya, Aditya; Boorman, J.G.

doi:10.1054/bjps.2001.3618

Cited by 118 publications

(98 citation statements)

References 3 publications

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“…Moderate to weak evidence suggests that, as well as the cleft, the additional oral facial anomalies associated with these syndromes (e.g., hypotonia, micrognathia, glossoptosis) impact feeding success. 35,50,51 It is important to examine the influence of all anomalies on feeding and design treatment with this in mind.…”

Section: Appendix: Frequently Asked Questionsmentioning

confidence: 99%

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate, Revised 2013

Reilly

Reid²,

Skeat³

et al. 2013

Breastfeeding Medicine

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A central goal of the Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient.Definitions

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Section: Appendix: Frequently Asked Questionsmentioning

confidence: 99%

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate, Revised 2013

Reilly

Reid²,

Skeat³

et al. 2013

Breastfeeding Medicine

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show abstract

“…30 In addition to feeding support, adequate management of the airways and early surgery in children with clefts were found to significantly reduce the growth deficit, although a greater proportion of children with growth deficits continued to be observed among ICP and CL+P children compared to those with ICL. 31 Although they presented a better growth performance in relation to the remaining groups, more than one fourth of the children with ICL presented weight and length below the 10th percentile. This result may have been due to the unfavorable socioeconomic conditions of these children, since the sample under study showed a concentration of individuals in the less favored socioeconomic classes.…”

Section: Discussionmentioning

confidence: 83%

Prejuízo no crescimento de crianças com diferentes tipos de fissura lábio-palatina nos 2 primeiros anos de idade: um estudo transversal

Montagnoli

Barbieri²,

Bettiol³

et al. 2005

J. Pediatr. (Rio J.)

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Objective: To analyze the differences in growth impairment according to sex in the 2 first years of life in children with three types of clefts.Methods: This was a cross-sectional study of 881 children (58.9% boys and 41.1% girls) with cleft lip and palate treated at the Craniofacial Anomaly Rehabilitation Hospital, (University of São Paulo, Bauru, SP), Brazil. Age ranged from 1 to 24 months. Three types of clefts were evaluated: isolated cleft lip (181/20.5%), isolated cleft palate (157/17.8%) and cleft lip + palate (543/61.6%). Weight and length measurements and data regarding breast-feeding and socioeconomic level were obtained. Children with weight and length below the 10th percentile of the NCHS reference were considered to have impaired growth.Results: Sample distribution according to cleft type and sex was similar to that observed in other epidemiological studies. Breastfeeding was more frequent in the isolated cleft lip group (45.9%) then in the isolated cleft palate (12.1%) or cleft lip + palate group (10.5%). Isolated cleft lip children showed less marked impairment of weight (23.8%) and length (19.3%) compared to the cleft lip + palate group (35.7% and 33.1%, respectively). In the latter group, the proportion of children with weight and length below the 10th percentile was very close to that of the isolated cleft palate group (34.4% and 38.9%). Conclusions:The impairment in weight and length was more severe in cleft lip + palate and isolated cleft palate children and may be attributed to feeding difficulties compared to the isolated cleft lip group.J Pediatr (Rio J). 2005;81(6):461-5: Breast-feeding, auxology, nutrition. ResumoObjetivo: Analisar as diferenças no prejuízo do crescimento até os 2 anos de idade, de acordo com o sexo, entre crianças com três tipos de fissuras lábio-palatinas.Métodos: Trata-se de estudo transversal de 881 crianças (58,9% meninos e 41,1% meninas) com fissura lábio-palatina, atendidas no Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, Bauru (SP), com idade entre 1 e 24 meses. Três tipos de fissuras foram avaliados: lábio isolada (181/20,5%), palato isolada (157/17,8%) e lábio+palato (543/61,6%). Foram obtidas medidas de peso e comprimento e informações referentes a aleitamento materno e condições socioeconômicas. Crianças com peso e comprimento abaixo do 10 o percentil da referência do NCHS foram consideradas de risco para crescimento prejudicado.Resultados: A distribuição da amostra segundo tipo de fissura e sexo foi semelhante ao observado em outros estudos epidemiológicos. O aleitamento materno foi mais freqüente entre crianças com fissura labial isolada (45,9%) do que nas de fissura palatina isolada (12,1%) ou fissura de lábio+palato (10,5%). Crianças com fissura labial isolada apresentaram menor comprometimento do peso (23,8%) e comprimento (19,3%), quando comparadas ao grupo de fissura de lábio+palato (35,7% e 33,1%, respectivamente), sendo que este apresentou proporções de crianças com peso e comprimento abaixo do 10 o percentil...

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“…A number of these patients had large gene deletions, and some had complex phenotypes, including more than one hereditary syndrome. Importantly, of the associated syndromes described in our cohort only one has been previously associated with FTT [9]. Thus, FTT should be considered as one of the ways patients with CNC may present, even if that means that the likelihood of a contiguous gene deletion syndrome is higher and the presentation may not only be due to PRKAR1A deficiency.…”

Section: Discussionmentioning

confidence: 87%

Failure to Thrive in the Context of Carney Complex

et al. 2017

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Background/Aims: Carney complex (CNC) is a rare syndrome associated with multiple tumors and several other unique manifestations. We describe the clinical, genetic, and laboratory findings in a cohort of patients with CNC and failure to thrive (FTT). Methods: A retrospective case series of pediatric patients with CNC presenting with FTT. Results: We describe a patient with infantile Cushing syndrome (CS) who presented with severe FTT and liver disease; the patient was subsequently diagnosed with CNC. This led to the realization that at least 10 other patients with CNC and FTT have been investigated in the last 22 years at the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Four of those had primary pigmented nodular adrenocortical disease (PPNAD), 2 had cardiac myxomas, and 3 had liver disease. Conclusion: Pediatric patients with CNC may present with FTT whose primary cause is variable and includes CS due to PPNAD, hepatic involvement, and other manifestations of CNC. FTT due to liver disease and/or other causes is a unique new presentation of this rare syndrome with which clinicians need to be familiar.

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Failure to thrive in babies with cleft lip and palate

Cited by 118 publications

References 3 publications

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate, Revised 2013

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate, Revised 2013

Prejuízo no crescimento de crianças com diferentes tipos de fissura lábio-palatina nos 2 primeiros anos de idade: um estudo transversal

Failure to Thrive in the Context of Carney Complex

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