An investigation into nutritional methods at the fifth day after birth of infants in association with cleft type and laterality

IF 1.3 4区 医学 Q3 PEDIATRICS Congenital Anomalies Pub Date : 2023-01-21 DOI:10.1111/cga.12509
Ayano Ogawa, Yasunori Sasaki, Masahiro Naruse
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引用次数: 1

Abstract

In patients with clefts, the affection of other congenital malformations on the feeding is unclear. We investigated the other congenital malformations and nutritional intake of neonates with cleft lip and/or palate and examined their relationships associated with cleft type and laterality. The participants included 126 infants under treatment with a presurgical naso-alveolar molding (PNAM) or a Hotz-type plate. The survey items were gender, cleft type and side, presence and nature of other congenital malformations, birth weight and nutritional method at age of the fifth day. The number of infants was 36 (28.6%) of cleft lip and alveolus, 82 (65.1%) of cleft lip and palate, and 8 (6.3%) of cleft palate only. Forty-three patients (34.1%) had other various congenital malformations. The nutritional method included oral intake in 78.6% (n = 99) of cases and tube feeding with/without oral intake in 21.4% (n = 27) of cases. The rate of tube feeding was higher for right-sided clefts than that for left-sided clefts. This observation was consistent with the fact that right-sided clefts were associated with more significant other congenital malformations than those on the left-side. The nutritional method for infants with cleft lip and/or palate was related to the presence of other congenital malformations, not to cleft laterality or oral cleft itself under early treatment with PNAM plate. These results proposed that screening the general condition is essential for neonates with right-sided cleft lip with/without cleft palate compared to left-sided clefts, which should be conducted immediately after birth for planning the appropriate nutritional method.

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婴儿出生后第5天的营养方法与唇裂类型和侧边性的关系的调查
在唇腭裂患者中,其他先天性畸形对喂养的影响尚不清楚。我们调查了唇裂和/或腭裂新生儿的其他先天性畸形和营养摄入,并检查了它们与唇裂类型和侧边性的关系。参与者包括126名接受手术前鼻-肺泡成型(PNAM)或hotz型钢板治疗的婴儿。调查项目为性别、唇裂类型及侧面、其他先天性畸形的存在及性质、出生体重及第5天营养方式。唇裂伴牙槽畸形患儿36例(28.6%),唇裂伴腭裂患儿82例(65.1%),单纯腭裂患儿8例(6.3%)。43例(34.1%)合并其他各种先天性畸形。营养方式为:78.6%(99例)口服,21.4%(27例)管饲加/不加口服。右侧唇裂的管饲率高于左侧唇裂。这一观察结果与右侧唇裂比左侧唇裂更容易导致其他先天性畸形的事实相一致。早期应用PNAM板治疗唇腭裂婴儿的营养方法与是否存在其他先天性畸形有关,而与唇裂偏侧或唇裂本身无关。这些结果提示,与左侧唇裂相比,右侧唇裂/非左侧唇裂新生儿的一般情况筛查是必要的,应在出生后立即进行筛查,以制定适当的营养方法。
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来源期刊
Congenital Anomalies
Congenital Anomalies PEDIATRICS-
自引率
0.00%
发文量
49
审稿时长
>12 weeks
期刊介绍: Congenital Anomalies is the official English language journal of the Japanese Teratology Society, and publishes original articles in laboratory as well as clinical research in all areas of abnormal development and related fields, from all over the world. Although contributions by members of the teratology societies affiliated with The International Federation of Teratology Societies are given priority, contributions from non-members are welcomed.
期刊最新文献
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