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

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

    Clinical Oral Investigations
    |February 5, 2014
    PubMed

    Insights

    Children with cleft palate only (CPO) frequently experience feeding difficulties (67%), often requiring nasogastric (NG) tube feeding (32%). Surgical repair of the palate significantly improves these feeding issues.

    Area of Science:

    • Pediatric surgery
    • Craniofacial anomalies
    • Speech and feeding disorders

    Background:

    • Cleft palate only (CPO) can lead to significant feeding challenges in infants.
    • Understanding the prevalence of feeding problems and associated conditions is crucial for early intervention.

    Purpose of the Study:

    • To determine the prevalence of feeding difficulties and nasogastric (NG) feeding in children with CPO.
    • To investigate associated disorders/syndromes (AssD/S) and potential risk factors for feeding issues.
    • To evaluate the impact of palatoplasty on feeding difficulties.

    Main Methods:

    • Retrospective review of 90 medical records of children with CPO.
    • Analysis of feeding problems, NG tube use, associated disorders, and breastfeeding outcomes.

    Main Results:

    • 67% of CPO children experienced feeding difficulties; 32% required NG feeding.
    • 54% had associated malformations, with severity linked to cleft severity.
    • Gender, gestational age, and birth weight were not significant risk factors.

    Conclusions:

    • Children with CPO have a high incidence of feeding difficulties and often require NG feeding.
    • Cleft severity correlates with the likelihood of associated disorders/syndromes.
    • Palatoplasty significantly improves feeding difficulties, highlighting the importance of surgical repair.
    Abstract

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