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An innovative modified feeding appliance for an infant with cleft lip and cleft palate: A case report
B H Naveen1, Raghavendra S Prasad1, K R Kashinath1
1Department of Prosthodontics, Sri Siddhartha Dental College, SAHE University, Agalkote, Tumkur, Karnataka, India.
Insights
Feeding difficulties in infants with cleft lip and palate can be managed with specialized appliances. This report details fabricating a feeding appliance for a neonate using copper wire.
Area of Science:
- Craniofacial anomalies
- Pediatric dentistry
- Neonatal care
Background:
- Cleft lip and palate is a common congenital craniofacial anomaly.
- Infants with cleft lip and palate often face feeding challenges due to oral cavity seal issues.
- Early intervention for feeding difficulties is crucial for infant health and development.
Observation:
- A 2-day-old neonate presented with cleft lip and palate.
- The neonate experienced feeding difficulties impacting nutrition.
- A feeding appliance was identified as a beneficial intervention.
Findings:
- A custom feeding appliance was fabricated for the neonate.
- Copper wire was utilized as a retainer for the feeding appliance.
- The appliance aims to improve oral-nasal separation and intraoral pressure for effective suckling.
Implications:
- Fabricating feeding appliances can significantly improve nutritional intake in neonates with cleft lip and palate.
- This approach supports the multidisciplinary management of cleft lip and palate.
- Early and effective feeding interventions are vital for infant well-being and growth.
Abstract:
Cleft lip and palate is one of the most common craniofacial anomalies of humans. A child born with cleft lip and palate may experience difficulties while feeding due to lack of seal of the oral cavity due to incomplete facial and palatal structures. Difficulty in feeding leads to inadequate nutrition and affects the health of the infant. Feeding difficulties should be assessed and intervened as early as possible, as they are an important aspect of the multidisciplinary team approach in the management of cleft lip and palate. Feeding appliance is a favorable feeding option in these infants as it creates a separation between oral and nasal cavities and thus helps in creating a negative intraoral pressure during suckling. This case report represents a fabrication of feeding appliance for a 2-day-old neonate born with cleft lip and palate, using copper wire as a retainer for the appliance.
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