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Weight Gain in Children with Cleft Lip and Palate without Use of Palatal Plates

Renato da Silva Freitas1, Andrey Bernardo Lopes-Grego, Helena Luiza Douat Dietrich

  • 1Center for Integral Assistance of Cleft Lip and Palate, Federal University of Paraná, Cuitiba, PR, Brazil.

Plastic Surgery International
|January 11, 2013
PubMed

Insights

Children with cleft lip and palate show slower initial weight gain but achieve average growth by one year without palatal plates. Multiprofessional care optimizes outcomes for these infants.

Area of Science:

  • Pediatric Growth Studies
  • Craniofacial Anomaly Research

Background:

  • Children with cleft lip and palate often experience growth challenges.
  • Evaluating growth without palatal plates is crucial for understanding nutritional and developmental trajectories.

Purpose of the Study:

  • To assess the first-year growth patterns of infants with cleft lip and palate.
  • To compare growth against World Health Organization (WHO) standards.
  • To determine the impact of treatment without palatal plates on infant weight gain.

Main Methods:

  • Retrospective chart review at the Center for Integral Assistance of Cleft Lip and Palate (CAIF) in Brazil (2008-2009).
  • Inclusion of 112 patients (56 male, 56 female), excluding syndromic and preforamen cleft types.
  • Comparison of gender-specific weight gain data with WHO averages.

Main Results:

  • Infants with cleft lip and palate exhibited weight gain below average until the 9th-11th month.
  • Despite initial delays, both genders maintained the 50th percentile (p50) for weight.
  • Growth trajectories improved significantly after the 4th month for boys and 9th month for girls.

Conclusions:

  • Infants with cleft lip and palate typically weigh less in early infancy compared to peers.
  • Weight gain normalizes by the end of the first year of life.
  • Optimized weight gain is associated with tailored treatment, expert guidance, and integrated multidisciplinary care.

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