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Updated: Aug 25, 2026

Quantification of Orofacial Phenotypes in Xenopus
Published on: November 6, 2014
Weight comparisons of infants with complete cleft lip and palate
Insights
The Enlarge, Stimulate, Swallow, Rest (ESSR) feeding method effectively promotes weight gain in infants with complete cleft lip and palate. This study found greater mean weight gain in infants utilizing the ESSR technique.
Area of Science:
- Pediatric surgery
- Neonatal nutrition
- Craniofacial anomalies
Background:
- Infants with complete cleft lip and palate often experience feeding difficulties.
- Effective nutritional support is critical for growth and surgical outcomes in these infants.
Purpose of the Study:
- To evaluate the efficacy of the Enlarge, Stimulate, Swallow, Rest (ESSR) feeding method.
- To determine if ESSR improves weight gain in infants with complete cleft lip and palate.
Main Methods:
- A study involving sixty-nine infants divided into an ESSR group and a control group.
- Paired t-tests were used to compare mean infant weights at birth and at the time of surgery.
Main Results:
- Infants receiving nutritional support via the ESSR method demonstrated significantly greater mean weight gain compared to the control group.
- The ESSR feeding method was associated with improved weight acquisition.
Conclusions:
- The Enlarge, Stimulate, Swallow, Rest (ESSR) feeding method appears to be a successful intervention for enhancing weight gain in infants with complete cleft lip and palate.
- ESSR may be a valuable tool for optimizing nutritional status in this vulnerable population.
Purpose:
To evaluate the success of the Enlarge, Stimulate, Swallow, Rest (ESSR) feeding method for infants with complete cleft lip and palate.
Method:
Sixty-nine infants comprised of two groups: an ESSR group and a control group. Paired t-tests compared mean weights at birth and time of surgery according to feeding method.
Results:
Infants fed by ESSR method showed greater mean weight gain.
Conclusions:
The ESSR method appeared to be successful in promoting weight gain.

