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Catch-Up Growth Pattern in Cleft Palate: A Longitudinal Study from Infancy to Adolescence
Sungmi Jeon1, Seung-Hak Baek2, Jiwoo Jang3
1Department of Plastic and Reconstructive Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Republic of Korea; Division of Pediatric Plastic Surgery, Seoul National University Children's Hospital, Seoul, Republic of Korea.
The Journal of Pediatrics
|August 23, 2023
Summary
Patients with cleft palate (CP) show significant catch-up growth in height and weight from infancy to adolescence. Comprehensive care aids recovery even in those with malnutrition or comorbidities.
Area of Science:
- Pediatric surgery
- Growth and development
- Craniofacial anomalies
Background:
- Cleft palate (CP) can impact a child's growth trajectory.
- Understanding somatic growth patterns is crucial for effective management.
Purpose of the Study:
- To characterize somatic catch-up growth patterns in patients with cleft palate from infancy to adolescence.
- To compare growth across different types of cleft palate and identify influencing factors.
Main Methods:
- Longitudinal growth data (birth, cheiloplasty, palatoplasty, childhood, adolescence) from 474 non-syndromic patients with CP.
- Z-scores for weight (ZWT), height (ZHT), and body mass index (ZBMI) were analyzed.
- Subgroup analyses included patients with malnourishment, preterm birth, and cardiac anomalies.
Main Results:
- Overall ZHT, ZWT, and ZBMI approximated 0, similar to non-cleft children.
- Significant catch-up growth in ZHT and ZWT was observed from cheiloplasty to adolescence for all CP types.
- Most patients with malnourishment showed recovery, but values remained relatively low until adolescence.
Conclusions:
- Significant catch-up growth occurs in patients with cleft palate, even those with malnutrition, preterm birth, or cardiac anomalies.
- Comprehensive cleft care facilitates rapid growth prior to palatoplasty.
- Longitudinal monitoring is essential for optimizing growth outcomes in this population.
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