Flexible palatal obturator plate for breastfeeding a baby with cleft lip and palate – case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18860

Keywords:

Cleft palate; Breast Feeding; Craniofacial abnormalities.

Abstract

Cleft lip and palate are congenital malformations originated from the lack of fusion of the maxillary and midnasal processes. Children with these defects have facial anatomical impairment, which can prevent or hinder the performance of important functions, including breastfeeding. In this context, the multidisciplinary surgical treatment of cleft lip and palate is essential for the health of the child with orofacial anomaly and for a good maternal-infant relationship. In newborns, less invasive treatments can efficiently contribute to the adequate nutrition of the child until the correction surgery is performed, such as acetate plates, which act as a resource to occlude the fissure, facilitating suction, breathing, avoiding episodes of regurgitation and favoring orofacial growth. The objective and case report: the objective of this article is to report the case of a baby with cleft lip and palate, who had difficulties in adequate feeding due to the inefficient adaptation of the oral cavity with the maternal breast. Due to the patient's young age, requiring the wait for the surgical procedure, it was chosen to make a flexible palatal obturator plate in order to occlude the cleft of the palate and allow the correct breastfeeding. This apparatus was made, after previous molding of the patient's oral cavity, in the palate region, with EVA (Ethylene Copolymer/Vinyl Acetate), showing good adaptation and correct performance of the desired functions. Conclusion: the flexible palatal obturator plate is an effective and safe option of therapy for breastfeeding children with cleft lip and palate who are not old enough for surgical correction of the orofacial defect.

References

Albergaria, M. et al. (2015). Fendas Lábio-Palatinas: Protocolo de Atuação, O Jornal Dentistry, 22, pp. 20-22.

Bhandari, S., Soni, B. W., & Saini, S. S. (2018). From birth till palatoplasty: Prosthetic procedural limitations and safeguarding infants with palatal cleft. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 36(1), 101–105.

Brahm, P. & Valdés, V. (2017). Benefits of Breastfeeding and Risks Associated with Not Breastfeeding, Revista Chilena de Pediatria, 88 (1), pp. 15-21.

Claudia F, Engel S, Lorena B. & Antonieta P. (2013) Orientación inicial, calidad de consejería y forma de alimentación en niños fissurados. Odontoestomatología, Concepción. 15(21): 145-7.

Costa e Silva L, De Amaral B. & Silva J. (2021) Labiopalatin fissure: literary review; Rev Saúde Mult.1; 9(1): 58-70.

Duarte, G. A. et al. (2015). Feeding Methods for Children with Cleft Lip and/or Palate: A Systematic Review, Brazilian Journal of Otorhinolaryngology, 82 (5), pp. 602-609.

Gorlin, R.J.; Cohen, J.M.M. & Hennekam, R.C.M. (2001) Syndromes of the head and neck. New York: Oxford University Press Inc.. 4 ed.

Goyal M, Chopra R, Bansal K. & Marwaha M. (2014) Role of obturators and other feeding interventions in patients with cleft lip and palate: a review. Eur Arch Paediatr Dent; 15:1-9.

Haque, S. & Alam, M. K. (2014). Common Dental Anomalies in Cleft Lip and Palate Patients, The Malaysian Journal of Medical Sciences, 22 (2), pp. 55-60.

Ize-Iyamu, I. N. & Saheeb, B. D. (2011). Feeding Intervention in Cleft Lip and Palate Babies: A Practical Approach to Feeding Efficiency and Weight Gain, International Association of Oral and Maxillofacial Surgeons, 40 (9), pp. 916-919.

Johnson M. M. (2019). Prenatal Imaging for Cleft Lip and Palate. Radiologic technology, 90(6), 581–596.

Neville B, Allen C. & Damm D. (2004) Patologia: Oral & Maxilofacial. Rio de Janeiro. Guanabara Koogan. 2ª ed.

Pathumwiwatana, P. et al (2010). The Promotion of Exclusive Breastfeeding in Infants with Complete Cleft Lip and Palate during the First 6 Months after Childbirth at Srinagarind Hospital, Khon Kaen Province, Thailand, Journal of the Medical Association of Thailand, 93 (4), pp. 71-77.

Reilly S, Reid J, Skeat J, Cahir P, Mei C. & Bunik M; (2013) Academy of Breastfeeding Medicine. ABM clinical protocol #18: guidelines for breastfeeding infants with cleft lip, cleft palate, or cleft lip and palate, revised, Breastfeed Med. 2013; 8(4): 349-53.

Shkoukani, M. A. et al. (2013). Cleft Lip- a Comprehensive Review, Frontiers in Pediatrics- Pediatric Otolaryngology, 1 (53), pp. 1-10.

SilvaL. D., SouzaS. A. de, SilvaC. A. T. de M. e, Amaral T. A. S. do, CostaS. C. da, VilhenaA. T., CarvalhoL. C. de, DiasJ. H. O., & VasconcelosA. S. de. (2019). Vedamento Parcial de Fissura Labiopalatina Utilizando Placa Obturadora em Resina Acrílica: Relato de Caso. Revista Eletrônica Acervo Saúde, (18), e311.

Silveira G, Luiz J, Weise M & Carla. Representações Sociais das Mães de Crianças Portadoras de Fissuras Labiopalatinas sobre Aleitamento. Pesquisa Brasileira em Odontopediatria e Clínica Integrada . 2008; 8(2):215-221.

Tabaquim M, Vilela L & Benati E.(2016) Habilidades cognitivas e competências prévias para aprendizagem de leitura e escrita de pré-escolares com fissura labiopalatina. Revista Psicopedagogia, São Paulo.; 33(100): 28-36.

Tamasia, G. A. & Sanches, P. F. D. (2016). Importância do Aleitamento Materno Exclusivo na Prevenção da Mortalidade Infantil.

Valente A, Espinoza M, Silva A & Luccia G. (2013) Características dos pacientes submetidos a cirurgias corretivas primárias de fissuras labiopalatinas. Rev Hcpa. Cuiabá.; 4(2): 32-39.

Xepapadeas, A. B., Weise, C., Frank, K., Spintzyk, S., Poets, C. F., Wiechers, C., Arand, J., & Koos, B. (2020). Technical note on introducing a digital workflow for newborns with craniofacial anomalies based on intraoral scans - part I: 3D printed and milled palatal stimulation plate for trisomy 21. BMC oral health, 20(1), 20.

Zheng, J., He, H., Kuang, W., & Yuan, W. (2019). Presurgical nasoalveolar molding with 3D printing for a patient with unilateral cleft lip, alveolus, and palate. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 156(3), 412–419.

Published

10/08/2021

How to Cite

SANTOS, I. M. M. dos; CARVARLHO, L. R. R. de A. .; MELO NETO, M. V. de .; ALVES, D. S. . Flexible palatal obturator plate for breastfeeding a baby with cleft lip and palate – case report. Research, Society and Development, [S. l.], v. 10, n. 10, p. e276101018860, 2021. DOI: 10.33448/rsd-v10i10.18860. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18860. Acesso em: 21 oct. 2021.

Issue

Section

Health Sciences