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Early rehabilitation of children with cleft palate
E U Makhkamov1, S M Murtazayev, A U Yuldashev
1Department of Surgical Stomatology, Tashkent Medical Institute, USSR.
Insights
Cleft lip and palate negatively impact maxillary development and intestinal function. Early, atraumatic soft palate surgery in children can normalize clinical and laboratory factors, improving digestive health.
Area of Science:
- Pediatric surgery
- Developmental biology
- Gastroenterology
Background:
- Cleft lip and palate (CLP) significantly affect craniofacial development, particularly the maxilla.
- CLP can lead to gastrointestinal issues, including impaired digestion and malabsorption, due to altered small intestine morphology and function.
- These complications can result in hyper-regenerative atrophy of the intestinal lining.
Purpose of the Study:
- To investigate the detrimental effects of CLP on maxillary growth and intestinal function.
- To introduce and evaluate an atraumatic surgical technique for soft palate repair in young children with CLP.
- To assess the clinical and laboratory outcomes of early surgical intervention.
Main Methods:
- A clinical and experimental study was conducted.
- A novel atraumatic soft palate surgery technique, including oesophageal orifice narrowing, was developed.
- The technique was applied to 72 pediatric patients with CLP, with 27 undergoing soft palate surgery alone.
Main Results:
- The study confirmed the negative impact of CLP on maxillary development and small intestine morphology/function.
- Early surgical intervention using the developed technique demonstrated positive outcomes.
- Normalization of several clinical and laboratory factors was observed post-surgery.
Conclusions:
- Atraumatic soft palate surgery is a viable approach for managing CLP-related complications in children.
- Early surgical intervention can mitigate the negative effects of CLP on maxillary growth and gastrointestinal health.
- The technique shows promise in improving digestive function and preventing intestinal atrophy in affected children.
Abstract:
A clinical and experimental study showed the negative effect of cleft lip and palate on the growth and development of the maxilla, as well as on the morphological and functional conditions of the small intestine, which resulted in impaired digestive function and malabsorption and led to atrophy of the hyper-regenerative type. Based on these facts, the authors developed a method of atraumatic surgery for soft palate with oesophageal orifice narrowing. The technique was applied in 72 children of tender age, out of whom 27 had their defect eliminated solely by means of soft palate surgery without involving the hard palate tissue. Early surgery enables to achieve normalization of a number of clinical and laboratory factors.