CLEFT LIP ANO (OR) PALATE: FEEDING RESOURCES PRIOR TO CORRECTIVE SURGERY
Keywords:
breast feeding, bottle feeding, cleft lip, cleft palateAbstract
Cleft lip, with our without cleft palate, and iso/ated cleft palate are the second most common birth defect, affecting around 1 in every 1,000 newborns. The medical, social, and physhological impacts, as we/1 as the significative morbity caused by these conditions, are ai/ relevant. ln addition to the need of a multiprofessional team for a long-term treatment, the first urgent challenge is posed by the neonata/ feeding period. The objective of this paper was to review the literature on intercurrent problems in the feeding process of chi/dren with cleft lip/pa/ate, in arder to describe the resources avai/able for minimizing the difficulties of such process and he/p the hea/th professionals to improve the general and nutritional deve/opment of children with such congenital defects. This article is structured into topics, which discuss the anatomic and functional aspects that directly interfere in the feeding process, as we/1 as other aspects, such as the intercurrent feeding disorders, and the feeding techniques for patients with each type of cleft lip!palate. Feeding a chi/d with any of these congenita/ defects is a real and urgent problem for both the chi/d and the family. lnitial care, which particularly refers to the case of newborns, is the responsibility of health professionals. This article contributes to providing parents and family members with information regarding the primary care required in feeding a newborn with cleft lip/palate.
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References
Altmann EBC. Tratamento precoce. ln: Altmann EBC, editor. Fissuras labiopalatinas. 4a.ed. Carapicuíba: Pró Fano. 1997; p.291-323.
Wyszynski DF. Cleft lip & Palate: from origin to treatment. New York: Oxford University Press; 2002.
Amstalden-Mendes LG; Gil-da-Silva-Lopes VL, Magna LA Neonatal care of infants with cleft lip and/or palate: feeding orientation and evolution of weight gain in non-specialized Brazilian Hospital. Cleft Palate Craniofac J. 2007; 44(3):329-34.
Moreno YMF, Nogueira RJN, Sakata MT, Gil-da-Silva-Lopes VL. Estado nutricional de crianças com fissura de lábio e (ou) palato em seguimento clínico em um hospital não especializado: resultados preliminares. Apresentados no 17° Congresso Brasileiro de Gené tica Clínica, Curitiba: 2005. [Pôster].
Spina V, Psillakis JM, Lapa FS, Ferreira MC. Classificação das fissuras lábio-palatinas: sugestões de modificação. Rev Hosp Clin Fac Med Univ São Paulo. 1972; 27(1):5-6.
Silva Filho OG, Ferrari Júnior FM, Rocha DL, Freitas JAS. Classificações das fissuras lábio-palatais: breve histórico, considerações clínicas e sugestões de modificação. Rev Bras Cir. 1992; 82(2):59-65.
Clarren SK, Anderson B, Wolf LS. Feeding infants with cleft lip, cleft palate, ar cleft lip and palate. Cleft Palate
J. 1987; 24(3):244-9.
Silva Dalben G, Costa B, Gomide, MR, Teixeira das Neves LT. Breast-feeding and sugar intake in babies with cleft lip and palate. Cleft Palate Craniofac J. 2003; 40(1):84-7.
Young JL, O'Riordan M, Goldstein JA, Robin NH. What information do parents of newborns with cleft- lip, or palate, or both, want to know? Cleft Palate Craniofac J. 2001; 38(1):55-8.
O. Choi BH, Kleinheinz J, Joos U, Komposch G. Sucking efficiency of early orthopaedic plate and teats in infants with cleft lip and palate. lnt J Oral Maxillofac Surg. 1991; 20(3):167-9.
Reid J. A review of feeding interventions for infants with cleft palate. Cleft Palate Craniofac J. 2004; 41(3):268-78.
Richard ME. Feeding the newborn with cleft lip and/or palate: the enlargement, stimulate, swallow, rest (ESSR) method. J Pediatr Nursing. 1991; 6(5): 317-21.
Aniansson G, Svensson H, Becker M, lngvarsson L. Otitis media and feeding with breast milk of children with cleft palate. Scand J Plast Reconstr Surg Hand Surg. 2002; 36(1):9-15.
Thomé S. Estudo da prática do aleitamento materno em crianças portadoras de malformação congênita de lábio e/ou palato [dissertação]. São Paulo: Escola de Enfermagem, Universidade Estadual de São Paulo; 1990.
Almeida MLG, Passerotti ALAC. Amamentação materna em fissurados: estudo retrospectivo. Pediatr Mod. 1986; 21(2):85-90.
Silva EB, Fúria CLB, Di Ninno CQMS. Aleitamento materno em recém-nascidos portadores de fissura labiopalatina: dificuldades e métodos utilizados. Rev Cefac. 2005; 7(1):21-8.
Almeida H. Situações especiais no lactante. ln: Carvalho MR, Tamez RN. Amamentação: bases científicas para a prática profissional. Rio de Janeiro: Guanabara Koogan; 2002. p.162-80.
Wide Smiles. Breast feeding the cleft-affected newborn: making is safe. Wide smiles Cleft links 1996 [cited 2003 Oct 6]. Available from: http:// www.widesmiles.org/cleftlinks/WS-004.html
Kogo M, Okada G, lshii S, Shikata M, lida S, Matsuya
T. Breast feeding for cleft lip and palate patient, using the Hotz-type plate. Cleft Palate Craniofac J. 1997; 34(4):351-3.
Lang S. Aleitamento do lactente: cuidados especiais. São Paulo: Santos Editora; 1997.
Cleft lip and palate association (Clapa). Feeding babies with a cleft palate or cleft lip and palate [cited 2004 May]. Available from: www.clapa.com/ feeding_babiespal.html
Redford-Badwal DA, Mabry K, Frassinelli JD. lmpact of cleft lip and/or palate on nutricional health and oral-motor development. Dent Clin North Am. 2003; 47(2):305-17.
Bannister P. Conduta na alimentação inicial. ln Watson ACH, Sell DA, Grunwell P. Tratamento de fissura labial e fenda palatal. São Paulo: Santos Editora; 2005. p.137- 47.
Mizuno K, Ueda A, Kani K, Kawamura H. Feeding behavior of infant with cleft lip and palate. Acta Paediatr. 2002; 92(11):1227-32.
Shaw WC, Bannister RP, Roberts CT. Assisted feeding is more reliable for infants with clefts: A randomized triai. Cleft Palate Craniofac J. 1999; 36:262-8.
Brine EA, Rickard KA, Brady MS, Liechty EA, Manatunga A, Sadove M, et ai. Effectiveness of two feeding methods in improving energy intake and growth of infants with cleft palate: a randomized study. J Am Diet Assoe. 1994; 94:732-8.
Osuji 00. Preparation of feeding obturators for infants with cleft lip and palate. J Clin Pediatr Dent. 1995; 19(3):211-4.
Turner L, Jacobsen C, Humenczuk M, Singhal VK, Moore D, Bell H. The effects of lactation education and a prosthetic obturator appliance on feeding efficiency in infants with cleft lip and palate. Cleft Palate Craniofac J. 2001; 38(5):519-24.
Lang S, Lawrence CJ, Orme RL. Cup feeding: an alternative method of infant feeding. Arch Dis Child. 1994; 71(4):365-9.
Richard M. Weight comparisons of infants with complete cleft lip and palate. Pediatr Nurs. 1994; 20(2):191-6.
