Simplified feeding appliance for an infant with cleft palate

Masih, Shaila; Chacko, Reena Annie; Thomas, Abi M; Singh, Namita; Thomas, Regi; Abraham, Deena

doi:10.4103/0970-4388.140970

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…Various materials are used for fabrication of palatal obturators such as vacuum adapted low-density polyethylene material (ethylene vinyl acetate), 9 , 18 , 30 heat cure acrylic 22 autopolymerizing self-cure acrylic. 21 The advantages of ethylene vinyl acetate over acrylicis: its lightweight, moldability, and a good fit to palate and ridges decreased the possibility of soft tissue injury because of soft texture.…”

Section: Discussionmentioning

confidence: 99%

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Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature

Tirupathi

Rajesh

Reddy

2020

International Journal of Clinical Pediatric Dentistry

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Cleft lip and palate (CLP) is one of the most common craniofacial anomaly affecting newborns. In the early years of life to survive baby requires nutrition from the mother. Lip seal of infant is affected because of cleft palate and thereby feeding is greatly compromised. As there is communication between nasal cavity and oral cavity there are more chances of aspiration of milk into the lungs. The main role of pedodontist is to fabricate a palatal obturator which facilitates feeding. In this article we have discussed fabrication of feeding obturator in single visit in infants with cleft palate. How to cite this article Tirupathi SP, Ragulakollu R, Reddy V. Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature. Int J Clin Pediatr Dent 2020;13(2):186–191.

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Section: Discussionmentioning

confidence: 99%

“…21 The advantages of ethylene vinyl acetate over acrylicis: its lightweight, moldability, and a good fit to palate and ridges decreased the possibility of soft tissue injury because of soft texture. 30 The feeding obturator should be adjusted every 2–3 weeks and replaced every 2–3 months. 30 …”

Section: Discussionmentioning

confidence: 99%

Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature

Tirupathi

Rajesh

Reddy

2020

International Journal of Clinical Pediatric Dentistry

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“…5 Cleft palate is a craniofacial deformity that results in an early embryonic stage characterized by problems of feeding, nasopharyngeal reflex, regurgitation, prolonged feeding time and lack of weight gain which can be corrected using a palatal obturator that also facilitates maxillary growth and well-being of the patient. 6 The aim of the present case report is to shed light on a feeding obturator/plate delivery via a case report in a newborn while keeping in mind the prenatal diagnosis and the postnatal care to be taken until the child is ready for surgery.…”

Section: Introductionmentioning

confidence: 99%

Delivery of a Feeding Obturator in a New Born Child: A Case Report

Trivedi

Mehta²

2020

Int. J. Drug Res. Dental Sci

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Obturators are custom made plastic material that is made to fit the precise contour of the hard and the soft palate that extends onwards to seal off the mouth from the nasal cavity. Fabricated by an orthodontist or a prosthodontist, it requires frequent replacements as the baby grows and preferably given at 2-3 days after birth. Breastfeeding in a cleft baby is difficult although there are a few compromised techniques that are employed such as breastfeeding positions, compression technique, supplementer usage, and nipple shield alone or in combination. Once the obturator is delivered the child stops regurgitation or vomiting as the lining of the nasal cavity is protected. Breastfeeding is very essential as it also facilitates the proper development of jawbones and facial muscles and in order to do that feeding of a child since day one of birth is a very important prerequisite that can be achieved by delivering an efficient palatal obturator.

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Identifying and quantifying initial post-discharge needs for clinical review of sick, newborns in Kenya based on a large multi-site, retrospective cohort study

Wainaina,

Lee,

Irimu

et al. 2024

Front. Pediatr.

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BackgroundProgress in neonatal care has resulted in a 51% decrease in global neonatal mortality rates from 1990 to 2017. Enhanced survival will put pressure on health care systems to provide appropriate post-discharge, follow-up care but the scale of need for such care is poorly defined.MethodsWe conducted a retrospective cohort study of newborns discharged from 23 public hospital neonatal units (NBUs) in Kenya between January 2018 and June 2023 to identify initial follow-up needs. We first determined pragmatic follow-up categories based on survivors’ clinical conditions and morbidities. We then used individual phenotypes of individual babies to assign them to needing one or more forms of specialized clinical follow-up. We use descriptive statistics to estimate proportions of those with specific needs and patterns of need.FindingsAmong 136,249/159,792 (85.3%) neonates discharged, around one-third (33%) were low birth weight (<2,500 g), and a similar 33.4% were preterm (<37 weeks). We estimated 131,351 initial episodes of follow-up would be needed across nine distinct follow-up categories: general pediatrics, nutrition, growth & development (40.4%), auditory screening (38.8%), ophthalmology for retinopathy of prematurity (9.6%), neurology (8.0%), occupational therapy (1.3%), specialized nutrition (0.9%), surgery (0.8%), cardiology (0.2%), and pulmonary (<0.1%). Most neonates met the criteria for two (52.3%, 28,733), followed by three (39.6%, 21,738) and one follow-up episodes (5.6%, 3,098). In addition to prematurity and very low birth weight (≤1,500 g), severe infections with extended gentamicin treatment, severe jaundice managed with phototherapy, and hypoxic-ischemic encephalopathy (HIE) contributed substantially to the pattern of need for post-discharge follow-up.ConclusionsAlmost half of surviving NBU infants have multiple specialty post-discharge follow-up needs. More urgent attention needs to be focused on healthcare planning now to guide strategies to address the varied medical and developmental needs that we outline in resource-constrained contexts like Kenya.

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Simplified feeding appliance for an infant with cleft palate

Cited by 4 publications

References 1 publication

Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature

Single-visit Feeding Obturator Fabrication in Infants with Cleft Lip and Palate: A Case Series and Narrative Review of Literature

Delivery of a Feeding Obturator in a New Born Child: A Case Report

Identifying and quantifying initial post-discharge needs for clinical review of sick, newborns in Kenya based on a large multi-site, retrospective cohort study

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