Palatal Groove Formation in Neonates and Infants With Orotracheal Tubes

Erenberg, Allen; Nowak, Arthur J.

doi:10.1001/archpedi.1984.02140480076023

Cited by 35 publications

(51 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Because suctioning has been associated with several complications, adequate attention must be paid to the suction pressure, catheter length, and prevention of hypoxemia during suctioning. Palatal implants have been used to reduce the risk of palatal groves and subsequent dentition problems [56,57]. Air leak syndrome is not an uncommon occurrence in infants on assisted ventilation and often is attributed to barotraumas.…”

Section: Complications Of Respiratory Managementmentioning

confidence: 99%

Iatrogenic Disorders in Modern Neonatology: A Focus on Safety and Quality of Care

Ramachandrappa¹,

Jain²

2008

Clinics in Perinatology

View full text Add to dashboard Cite

Section: Complications Of Respiratory Managementmentioning

confidence: 99%

Iatrogenic Disorders in Modern Neonatology: A Focus on Safety and Quality of Care

Ramachandrappa¹,

Jain²

2008

Clinics in Perinatology

View full text Add to dashboard Cite

“…For instance, Erenberg, who reported grooving in 47.6% of a predominantly premature cohort of infants who had required orotracheal intubation, defined a groove as a “narrow channel of variable depth located near the midline of the palate.”6 In many cases grooving was striking and has been reported to persist into early childhood 1415Despite differences in definition, it seems most unlikely this degree of grooving is caused only by the modest (and transient) elevation of the palate found in our study.…”

Section: Discussionmentioning

confidence: 65%

Deformation of the palate in preterm infants

Procter

Lether²,

Oliver³

et al. 1998

Archives of Disease in Childhood - Fetal and Neonatal Edition

View full text Add to dashboard Cite

Aim-To investigate the eVect of gestation, postmenstrual age, and orotracheal intubation on palate morphology. Methods-A prospective study was made of 76 newborn infants of 25 to 41 weeks' gestation. Palate dimensions were measured on plaster models produced from serial palatal impressions. Palate size relative to that of the mouth was assessed using a ratio of palate depth to palate width (Palatal Index). Results-Palate depth and width were related to postmenstrual age and gestation. Palatal Index ranged from 0.15 to 0.57, indicating a wide variation in palate shape, but gestation and postmenstrual age had no eVect. Prolonged intubation had a small eVect, equivalent to an increase in palatal depth of less than 2 mm at 32 weeks' postmenstrual age. The eVect was transient. Conclusion-Prolonged orotracheal intubation (>10 days) leads to a small and temporary increase in palatal depth. However, this is unlikely to account for palatal grooving, which is probably caused by an overgrowth of the lateral palatine ridges. (Arch Dis Child Fetal Neonatal Ed 1998;78:F29-F32)

show abstract

“…Following these reports, other published cases described palatal grooving as a common sequela of orotracheal intubation, likely resulting from pressure on the median palatine suture and tongue pressure (Biskinis et al, 1978;Carillo, 1985;Molteni andBumstead, 1986, Fadavi et al, 1992). A study by Erenberg and Nowak (1984) found that palatal groove formation increased with longer use of ET tubes, occurring in 87.5% of infants documented as being intubated for more than 2 weeks. These reports showed that palatal trauma from orotracheal intubation was directly related to duration of intubation.…”

Section: Discussionmentioning

confidence: 99%