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Prevalence of feeding disorders in children with cleft palate only: a retrospective study

I A C de Vries1, C C Breugem, A M B van der Heul

  • 1Department of Paediatric Plastic Surgery, Wilhelmina Children's Hospital, PO Box 85500, 3508, GA, Utrecht, The Netherlands, i.a.c.devries-5@umcutrecht.nl.

Clinical Oral Investigations
|October 15, 2013
PubMed

Insights

Children with cleft palate only (CPO) frequently experience feeding difficulties (67%) and may require nasogastric (NG) feeding (32%). Surgical repair of the palate significantly improves these feeding issues, highlighting its importance.

Area of Science:

  • Pediatric surgery
  • Craniofacial anomalies
  • Speech and language pathology

Background:

  • Cleft palate only (CPO) is a common congenital condition.
  • Feeding difficulties are a significant concern in infants with CPO.
  • Associated disorders and syndromes can complicate management.

Purpose of the Study:

  • To determine the prevalence of feeding problems in children with CPO.
  • To investigate the rate of nasogastric (NG) feeding in this population.
  • To examine risk factors and the impact of palatoplasty on feeding outcomes.

Main Methods:

  • Retrospective review of medical records.
  • Analysis of questionnaire data from 90 children with CPO.
  • Statistical assessment of risk factors and treatment outcomes.

Main Results:

  • 67% of children with CPO experienced feeding difficulties; 32% required NG feeding.
  • Associated disorders/syndromes were present in 54% of cases.
  • Cleft severity correlated with associated disorders, but not feeding issues or NG tube necessity.

Conclusions:

  • Children with CPO have a high incidence of feeding difficulties and often require NG tube support.
  • Palatoplasty significantly improves feeding difficulties, underscoring the importance of surgical intervention.
  • Cleft severity is linked to associated disorders, but not directly to feeding problems or breastfeeding failure.
Abstract

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