Feeding Problems and Treatment in Cleft Lip and Cleft Palate Children

Main Article Content

Supaporn Chinchai
Piyawat Trevittaya
Phuanjai Rattakorn
Nuntigar Sonsuwan
Krit Khwanngern
Sutida Lekmool

Abstract

Background: Newborn babies with cleft lip and cleft palate in Thailand around 2,000 cases a year. These children often suffer from feeding problems. It affects the nutritional status. As a result, these children growth and development slower than typical.


Objectives: To survey characteristics, feeding problems, impact and treatment of feeding problems in cleft lip and cleft palate children.


Materials and methods: Studying retrospective pediatric history data, using purposing sampling of 119 children who came to receive services at the Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, during 2013 to 2016. By the criteria of the children must have history of feeding problems.


Results: There were 64 (53.78%) of cleft lip and cleft palate children with feeding problems. All of them had bilateral complete cleft lip and cleft palate, most of them were male and aged between 1 to 5 years. The most common feeding problems were choking and sucking problems. The impact of feeding problems was: fatigue or difficulty breathing during feeding, delayed development, malnutrition, respiratory tracts or nasal infection or inflammation and flatulence. Cleft lip and cleft palate children with feeding problems were received intervention by interdisciplinary teams. All children underwent twice Palatoplasty surgery from a surgeon. The most children were getting an obturator by a dentist within 1 year. In addition, nurses taught parents how to feed their children. The most impact of feeding problems was delayed development, but there was no any service from any department.


Conclusion: Children with cleft lip and cleft palate have feeding problems that impact to their quality of life. There are specialists in various fields join a multidisciplinary team to assist with the exception of delayed developmental effects. Occupational therapists should play a role in becoming a multidisciplinary team to do intervention in the delayed development aspect of cleft lip and cleft palate children with feeding problems.

Article Details

How to Cite
Chinchai, S., Trevittaya, P., Rattakorn, P., Sonsuwan, N., Khwanngern, K., & Lekmool, S. (2017). Feeding Problems and Treatment in Cleft Lip and Cleft Palate Children. Journal of Associated Medical Sciences, 50(3), 533. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/96487
Section
Research Articles

References

1. Chowchuen B. Cleft lip and palate treatment guideline manual for parents. Khon Kaen: Cleft lip and palate and craniofacial anomaly research center Faculty of Medicine Khon Kaen University; 2011. (in Thai)

2. Chowchuen B, Thanaviratananich S, Chichareon KA, Auvichipotchana C, Godfrey K, editors. Multicenter study of oral cleft and associated abnormalities in Thailand: the epidemiologic data and need of health care service. The 10th International Congress on Cleft palate and Related Craniofacial Anomalies. Durban, South Africa; 2005.

3. Chuangsuwanich A, Aojanipong C, Muangsombut S, Tongpiew P. Epidemiology of cleft lip and palate in Thailand. Ann Plast Surg 1998; 41: 7-10.

4. Ruangsitt C, Prasertsang P, Banpho Y, Lamduan W, Giathamnuay S, Nuwantha A. Incidence of cleft lip and palate in three hospitals in Khon Kean. Khon Kaen: Department of Orthodontics Faculty of Dentistry Khon Kaen University; 1993.

5. Prathanee B. Cleft lip and palate: speech problems and multidisciplinary treatment. Khon Kaen: Khon Kaen University; 2014. (in Thai)

6. Chowchuen B. Multi-institutional study of cleft lip and palate and related anomalies in Thailand: epidemiologic data. Plast Reconstr Surg Glob Open 2016; 3(12): 583.

7. Mossey PA, Little J, Munger RG, Shaw WC. Cleft lip and palate. Lancet 2009; 374: 773-85.

8. Khantapasuatara K. Cleft lip and palate. Bangkok: Hearing and speech clinic Department of Otolaryngology Faculty of Medicine Ramathibodi Hospital Mahidol University; 2007. (in Thai)

9. Chusilp K. The important of feeding infant and children [Internet]. [cited 2016 Jun 6]. Available from: http://www.ped.si.mahidol.ac.th/vdo/breastfeeding/set- breastfeeding/5.IFYCF.pdf

10. Prathumwiwattana P. Feeding in cleft lip and palate infant. Khon Kaen: Cleft lip and palate and craniofacial anomaly research center Faculty of Medicine Khon Kaen University; 2011. (in Thai)

11. Attawong T. Occupational therapy and rehabilitation for dysphagia. Chiang Mai: Occupational Therapy Unit Department of Rehabilitation Medicine Faculty of Medicine Chiang Mai University; 2016. (in Thai)

12. Shaw GM, Croen LA, Curry CJ. Isolate oral cleft malformations: associations with maternal and infant characteristics in a California population. Tetralogy 1991; 43: 225-8.

13. Heart and stroke foundation of Ontario. Management of dysphagia in acute stroke: an educational manual for the dysphagia screening professional; 2006.

14. Thai foundation of orthodontics. The introduction of cleft lip and palate. Bangkok: Department of Orthodontics Faculty of Dentistry Mahidol University; 2003. (in Thai)

15. Mongkoltawornchai S, Pradubwong S, Augsornwan D. Nurse care in multidisciplinary team of cleft lip and palate. Khon Kaen: Siriphan Printing House; 2002. (in Thai)