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Use of an obturator with nCPAP in a premature infant with a cleft lip and palate

Igor J Pesun1, John Minski2, Michael Narvey3

  • 1Associate Professor, Department of Restorative Dentistry, College of Dentistry, University of Manitoba, Winnipeg, Manitoba, Canada.

The Journal of Prosthetic Dentistry
|March 22, 2015
PubMed

Insights

A custom obturator device helps premature infants with cleft lip and palate receive nasal continuous positive airway pressure (nCPAP) therapy, improving oxygenation and reducing risks from prolonged intubation.

Area of Science:

  • Neonatal care
  • Pediatric surgery
  • Biomedical engineering

Background:

  • Premature infants often have underdeveloped lungs requiring respiratory support.
  • Nasal continuous positive airway pressure (nCPAP) is crucial for oxygenation but requires an intact palate.
  • Infants with cleft lip and palate face challenges with nCPAP due to palate defects, leading to prolonged intubation.

Observation:

  • Premature infants with cleft lip and palate struggle to maintain nCPAP therapy.
  • This inability necessitates extended endotracheal intubation, increasing associated risks.
  • A novel approach is needed to facilitate nCPAP delivery in these infants.

Findings:

  • A custom-designed obturator was fabricated and attached to nCPAP tubing.
  • The obturator was successfully used in a premature infant with a unilateral cleft lip and palate.
  • This device facilitated the maintenance of nCPAP therapy.

Implications:

  • This custom obturator offers a potential solution for nCPAP delivery in infants with cleft lip and palate.
  • It may reduce the need for prolonged intubation and its associated complications.
  • This innovation could improve respiratory support outcomes for vulnerable premature infants.

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