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Case Reports
. 2010 Jan;1(1):91-3.
doi: 10.4103/0975-5950.69149.

A feeding appliance for a newborn baby with cleft lip and palate

Affiliations
Case Reports

A feeding appliance for a newborn baby with cleft lip and palate

Abhay Agarwal et al. Natl J Maxillofac Surg. 2010 Jan.

Abstract

A child born with cleft lip and palate may experience difficulties while feeding. Obtaining a good seal of the oral cavity can be difficult due to the incomplete facial and palatal structures. Nasal regurgitation and choking are common in infants with cleft palate because of inability of the palate to separate the nasal and oral cavities. The case presented here is a 3-day-old neonate born with cleft lip and palate, assisted with a new feeding appliance made with ethylene vinyl acetate using pressure moulding technique in biostar machine for proper feeding.

Keywords: Cleft lip and palate; feeding appliance; obturator.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Preoperative view
Figure 2
Figure 2
Custom tray
Figure 3
Figure 3
Secondary impression with rubber base impression material
Figure 4
Figure 4
Final cast
Figure 5
Figure 5
Feeding appliance made by using pressure moulding technique in biostar machine
Figure 6
Figure 6
Feeding appliance of ethylene vinyl acetate attached with floss
Figure 7
Figure 7
Feeding appliance placed in the oral cavity of the newborn
Figure 8
Figure 8
Feeding with the help of appliance

References

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    1. Osuji OO. Preparation of feeding Obturator for infants with cleft lip and palate. J Clin Pediatric Dent. 1995;19:211–4. - PubMed
    1. Choi BH, Kleinbeririz J, Joos U, Komposch G. Sucking efficiency of early orthopedic plate and teats in infants with cleft lip and palate. Int J Oral Maxillofac Surg. 1991;20:167–9. - PubMed
    1. Arvedson JC, Brodsky L. Pediatric Swallowing and Feeding. San Diego, California: Singular Publishing Group, Inc; 1993.
    1. Kummer AW. Cleft Palate and Craniofacial Anomalies. 2nd ed. Clifton Park, NY: Thomson Delmar Learning; 2008.

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