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使用阻塞器进行早期干预:腭裂婴儿病例系列

Early Intervention With Obturators: A Case Series of Infants With Cleft Palate.

作者信息

Pawar Mrunal, Ghongade Neha R, Mohite Harshvardhan A, Shashikiran N D, Gaonkar Namrata

机构信息

Department of Pediatric Dentistry, School of Dental Sciences, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, IND.

Department of Pedodontics and Preventive Dentistry, School of Dental Sciences, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, IND.

出版信息

Cureus. 2025 Feb 16;17(2):e79092. doi: 10.7759/cureus.79092. eCollection 2025 Feb.

Abstract

A cleft palate is a congenital anomaly that can significantly impact an infant's ability to feed and grow normally. This article presents a case series of three infants diagnosed with a congenital cleft palate, who were fitted with a custom obturator for feeding purposes. The infants exhibited difficulty with suction and oral feeding due to the cleft, which led to inadequate nutrition and increased risk of aspiration. To address this issue, a removable obturator was fabricated to temporarily occlude the palatal gap and improve the efficiency of sucking after taking consent for the same from the parents. The obturator was designed to ensure a secure fit, promote proper alignment, and reduce the risk of nasal regurgitation during feeding. The infants demonstrated immediate improvements in feeding and a significant reduction in aspiration risk. The article highlights the importance of early intervention and the role of prosthetic devices like obturators in managing feeding difficulties associated with cleft palate in neonates. Additionally, this report emphasizes the importance of a multidisciplinary approach involving pediatricians, speech therapists, and prosthodontists in the management of infants with cleft palate.

摘要

腭裂是一种先天性异常,会严重影响婴儿正常进食和生长的能力。本文介绍了一系列三例被诊断为先天性腭裂的婴儿病例,他们为了进食目的佩戴了定制的阻塞器。由于腭裂,这些婴儿在吸吮和经口喂养方面存在困难,这导致营养不足和误吸风险增加。为了解决这个问题,在征得家长同意后,制作了一个可摘戴的阻塞器,以暂时封闭腭部间隙并提高吸吮效率。该阻塞器的设计旨在确保贴合牢固、促进正确对齐,并降低喂养期间鼻反流的风险。这些婴儿在喂养方面立即有了改善,误吸风险显著降低。本文强调了早期干预的重要性以及阻塞器等修复装置在处理新生儿腭裂相关喂养困难中的作用。此外,本报告强调了多学科方法在腭裂婴儿管理中的重要性,该方法涉及儿科医生、言语治疗师和口腔修复医生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfbb/11917501/7c39c351d790/cureus-0017-00000079092-i01.jpg

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