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Failure to thrive in infants with complicated facial hemangiomas
Meghan W Thomas1, Craig N Burkhart, Sapna P Vaghani
1Department of Pediatrics, University of North Carolina, Chapel Hill, North Carolina 27514, USA. mwthomas@unch.unc.edu
Insights
Infants with facial hemangiomas may experience feeding difficulties and failure to thrive due to oral sensory impairments. Early intervention by speech or occupational therapists is recommended for at-risk infants.
Area of Science:
- Pediatric Medicine
- Developmental Pediatrics
- Otolaryngology
Background:
- Facial hemangiomas of infancy are common vascular tumors.
- Feeding difficulties and failure to thrive can impact infant development.
- Oral sensory processing plays a crucial role in infant feeding.
Observation:
- Children with facial hemangiomas sometimes present with feeding issues and failure to thrive.
- A review of four cases examined oral sensory and feeding experiences.
- Parental surveys and medical records were utilized for data collection.
Findings:
- All infants with feeding irregularities showed some oral sensory impairment.
- Early oral sensory intervention was required for these infants.
- There were varied reports on the difficulty and delay in oral feeding development.
Implications:
- Infants with complex facial hemangiomas, especially with perioral or airway involvement, are at higher risk.
- Close monitoring for failure to thrive is crucial in these infants.
- Early evaluation by speech or occupational therapists is recommended for optimal outcomes.
Abstract:
We have observed that some children with facial hemangiomas of infancy have feeding difficulties coincident with periods of failure to thrive. We evaluated the early oral sensory and feeding experiences of four children with facial hemangiomas through medical record review and parental surveys to investigate their contribution to the patients' failure to thrive. All children with feeding irregularities experienced some degree of oral sensory impairment and required early oral sensory intervention, but there were varying reports of difficulty or delay in the development of oral feeding. The nature of these difficulties is discussed. Infants with complicated facial hemangiomas with perioral and airway involvement may be at higher risk for feeding and oral sensory problems. We recommend close monitoring for failure to thrive and early evaluation by speech or occupational therapists.
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