Development outcomes of Thai children with cleft lip/palate at 5-years-old

Somchit Rongbudsri1, Niramol Patjanasoontorn, Suteera Pradabwong

  • 1Department of Psychiatry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Insights

Thai children with non-syndromic cleft lip and/or palate (CLP) often experience developmental delays. This study highlights the need for improved treatment standards focusing on psychosocial and developmental outcomes for these children.

Area of Science:

  • Pediatric Development
  • Craniofacial Anomalies
  • Public Health

Background:

  • Non-syndromic cleft lip and/or palate (CLP) is a common congenital condition.
  • Early intervention and monitoring are crucial for children with CLP.
  • Developmental outcomes in Thai children with CLP require further investigation.

Purpose of the Study:

  • To assess developmental outcomes in Thai children with non-syndromic CLP.
  • To evaluate development 5 years after birth.
  • To inform treatment standard improvements at the Tawanchai Center.

Main Methods:

  • A cohort of 24 Thai children with non-syndromic CLP was followed.
  • Developmental screening tests were utilized for assessment.
  • Follow-up occurred at the Tawanchai Center.

Main Results:

  • 62.5% of children exhibited delayed development.
  • Delayed language skills were most prevalent (54.2%).
  • Delays in personal-social and fine motor skills were observed in 20.8% of cases.

Conclusions:

  • A significant proportion of Thai children with CLP experience developmental delays.
  • Understanding specific delay patterns can guide treatment enhancements.
  • Increased focus on psychosocial and developmental outcomes is recommended.
Abstract

Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Language Development01:22

Language Development

Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...