Weight Gain in Children with Cleft Lip and Palate without Use of Palatal Plates

Abstract

Goals/Background. To evaluate children's growth in the first year of life, who have cleft palate and lip, without the use of palatal plates. Materials/Method. Chart review was conducted, retrospectively, in the Center for Integral Assistance of Cleft Lip and Palate (CAIF), in Brazil, between 2008 and 2009. Results for both genders were compared to the data published by the World Health Organization (WHO) regarding average weight gain in children during their first year of life. Results. Patients with syndromic diagnosis and with cleft classified as preforamen were excluded, resulting in a final number of 112 patients: 56 male and 56 female. Similar patterns were seen comparing the two genders. Although it was observed weight gain below the average until the 11th month in male patients and until 9 months in female patients, both genders remained at the 50th percentile (p50) and improved after the 4th month of age for boys and the 9th month of age for girls. Conclusion. Children with cleft palate weigh less than regular children during their first months of life. At the end of the first year, weight gain is similar comparing normal and affected children. However, factors that optimized weight gain included choosing the best treatment for each case, proper guidance, and multiprofessional integrated care.

Figure 1

Comparison between the average weight gain of boys with cleft lip and palate estimated by WHO. Blue dots: WHO; pink dots: study group.

Figure 2

Comparison between the average weight gain of girls with cleft lip and palate estimated by WHO. Blue dots: WHO; pink dots: study group.

Figure 3

Curve of weight gain for boys compared to percentiles estimated by WHO.

Figure 4

Curve of weight gain for girls compared to percentiles estimated by WHO.