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Immediate postoperative evaluation of the surgical wound and nutritional evolution after cheiloplasty

Antônio Guedes Alcoforado Assunção1, Maria Alice Farha Pinto, Suely Prieto de Barros Almeida Peres

  • 1Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), Bauru, São Paulo, Brazil.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|July 9, 2005
PubMed

Insights

Spoon-feeding and bottle-feeding both support good nutritional status and surgical wound healing in infants after cheiloplasty. Bottle-feeding is recommended post-surgery to avoid damaging the lip wound.

Area of Science:

  • Craniofacial surgery
  • Pediatric nutrition
  • Wound healing

Background:

  • Cheiloplasty is a surgical procedure to correct cleft lip.
  • Nutritional status and wound healing are critical for successful outcomes in infants undergoing cheiloplasty.

Purpose of the Study:

  • To evaluate the impact of feeding methods (spoon-feeding vs. bottle-feeding) on nutritional status.
  • To assess the condition of the surgical wound following cheiloplasty in infants.

Main Methods:

  • A study involving 45 infants aged 3-13 months undergoing cheiloplasty.
  • Infants were divided into spoon-fed and bottle-fed groups.
  • Nutritional status and surgical wound condition were monitored.

Main Results:

  • No significant differences were observed between feeding groups regarding gender, age, nutritional status, or wound condition.
  • All infants achieved eutrophic status with improved growth and development.
  • No complications like hematoma, significant edema, dehiscence, bleeding, or infection were noted in the operated area.

Conclusions:

  • Both spoon-feeding and bottle-feeding equally influence nutritional status and wound healing post-cheiloplasty.
  • Bottle-feeding is suggested for the postoperative period as it did not cause damage to the surgical wound.
  • This finding supports the use of bottle-feeding for infants recovering from cheiloplasty.
Abstract

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