Sultana A, Rahman M M, Rahman M M, Nessa J, Rahman M M, Alam M S
Department of Prosthodontics, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka, Bangladesh.
Mymensingh Med J. 2011 Jan;20(1):22-7.
Cleft lip and palate is a common congenital defect of human being. If a child is born with congenital cleft palate defect, it is very painful to their parents. They are very much worried about the feeding of their baby. In this situation feeding aid prosthesis is the only treatment of choice. The feeding aid prosthesis helps not only feeding the baby but also help to develop proper articulation of speech. The article describes an advanced clinical and laboratory technique for the fabrication of a feeding aid prosthesis for new born baby. 9 infants who were suffering from congenital cleft lip and palate defect and a 9 month old baby with acquired palatal defect (acid-victim) were included in this study. All of them had treated with feeding aid prosthesis for feeding till palatoplasty was done. The feeding aid prosthesis was fabricated with acrylic resin and finally relined with soft lining materials. The impression of the palate was taken with heavy body silicon putty with the help of modeling wax custom tray. Data were collected before and after prosthesis on the basis of feeding time, amount of consumption of milk and growth pattern of the infants with their height and weight. Out of ten babies, 30% rejected the prostheses and 70% had accepted and used the prostheses until they were fit for palatoplasty. Growth of the babies was significantly improved who accepted the prosthesis than who rejected the prosthesis.
唇腭裂是人类常见的先天性缺陷。如果孩子天生患有先天性腭裂缺陷，这对他们的父母来说非常痛苦。他们非常担心婴儿的喂养问题。在这种情况下，辅助喂养假体是唯一的治疗选择。辅助喂养假体不仅有助于喂养婴儿，还有助于培养正确的语音清晰度。本文描述了一种为新生儿制作辅助喂养假体的先进临床和实验室技术。本研究纳入了9名患有先天性唇腭裂缺陷的婴儿和1名9个月大患有后天性腭裂缺陷（酸蚀受害者）的婴儿。在进行腭裂修复手术之前，他们都使用辅助喂养假体进行喂养。辅助喂养假体由丙烯酸树脂制成，最后用软衬材料进行重衬。借助模型蜡定制托盘，用重体硅橡胶取腭部印模。根据喂养时间、牛奶摄入量以及婴儿身高和体重的生长模式，在佩戴假体前后收集数据。在这10名婴儿中，30%的婴儿拒绝使用假体，70%的婴儿接受并使用了假体，直到适合进行腭裂修复手术。接受假体的婴儿的生长情况比拒绝假体的婴儿有显著改善。
