Current Postoperative Feeding Practices Following Surgical Repairs for Infants With Cleft Palate.
J Craniofac Surg
; 34(7): 2142-2145, 2023 Oct 01.
Article
en En
| MEDLINE
| ID: mdl-37801714
ABSTRACT
BACKGROUND:
Nearly all surgeons have restrictive postoperative feeding protocols in place after primary cleft lip and cleft palate repairs. There are no standardized recommendations, potentially resulting in widely variable practices among cleft surgeons and teams. The purpose of this study was to examine current postoperative feeding practices for infants with cleft palate after lip and palate repairs.METHODS:
A survey of 50 questions was sent to members of the American Cleft Palate-Craniofacial Association (ACPA). Inclusion criteria included providers from North America that have either currently or previously served on a cleft palate team and reached the surgical question set within the survey.RESULTS:
Sixty-four respondents met inclusion criteria. The majority were in speech-language pathology (47%) or nursing (41%) disciplines, involved in feeding consultations frequently (84%), and working in an outpatient setting (69%). After lip surgery, respondents recommended cleft-adapted bottle feeding (88%), spoon feeding (9%), cup feeding (13%), and syringe/squeeze bottle feeding (23%). The majority of respondents (69%) indicated infants could return to their preoperative feeding modality immediately after lip surgery. After palate surgery, respondents recommended cleft-adapted bottle feeding (55%), typical bottle feeding (3%), spoon feeding (36%), cup feeding (64%), and syringe/squeeze bottle feeding (30%). Infants could use a feeding system that required suction at an average of 20 days postoperatively and return to an age-appropriate diet at an average of 15 days postoperatively.CONCLUSIONS:
The present study describes the wide variation of postoperative feeding guidelines used by cleft teams after lip and palate repairs.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Labio Leporino
/
Fisura del Paladar
/
Cirujanos
Tipo de estudio:
Guideline
/
Qualitative_research
Límite:
Humans
/
Infant
/
Newborn
País/Región como asunto:
America do norte
Idioma:
En
Año:
2023
Tipo del documento:
Article