Management of iatrogenic palatal perforation in an infant: early prosthetic functional rehabilitation

Area of Science:

• Neonatal Medicine
• Pediatric Surgery
• Oral and Maxillofacial Surgery

Background:

• Iatrogenic palatal perforation in infants is a rare but serious complication.
• It can lead to significant feeding difficulties, aspiration, and failure to thrive.
• Potential causes include medical procedures such as orotracheal intubation.

Purpose of the Study:

• To describe a case of iatrogenic palatal perforation in an infant.
• To highlight the successful management using a prosthetic device.
• To emphasize the importance of early intervention and multidisciplinary care.

Main Methods:

• A case report of an infant with a palatal defect post-hospitalization.
• Diagnostic workup to rule out congenital and infectious causes.
• Fabrication and fitting of a self-retentive feeding plate.
• Monitoring of feeding efficiency, nasal regurgitation, and defect healing.

Main Results:

• The palatal perforation was deemed iatrogenic, likely secondary to orotracheal intubation.
• The prosthetic feeding plate effectively improved feeding efficiency and reduced nasal regurgitation.
• Significant reduction in the palatal defect size was observed within one month.
• The case demonstrated the oral tissues' regenerative capacity.

Conclusions:

• Early prosthetic intervention is crucial for managing iatrogenic palatal perforations in neonates.
• A multidisciplinary approach involving various medical specialists is essential.
• Careful airway management during procedures can help prevent such complications.