Skip to main content Skip to main navigation menu Skip to site footer
International Journal of Nutrology
Articles
DOI: 10.54448/ijn22405
Submitted: 07-02-2023
Published: 07-02-2023

Nutritional status of patients at the moment of primary cleft lip and palate surgery: a retrospective observational study

HRAC - Hospital de Reabilitação de Anomalias Craniofaciais da USP/ Hospital for the Rehabilitation of Craniofacial Anomalies at USP, Bauru, São Paulo, Brazil.
HRAC - Hospital de Reabilitação de Anomalias Craniofaciais da USP/ Hospital for the Rehabilitation of Craniofacial Anomalies at USP, Bauru, São Paulo, Brazil.
HRAC - Hospital de Reabilitação de Anomalias Craniofaciais da USP/ Hospital for the Rehabilitation of Craniofacial Anomalies at USP, Bauru, São Paulo, Brazil.
UNIFIPA- Centro Universitário Padre Albino/ Padre Albino University Center, Medicine Course, Catanduva, Sao Paulo, Brazil
HRAC - Hospital de Reabilitação de Anomalias Craniofaciais da USP/ Hospital for the Rehabilitation of Craniofacial Anomalies at USP, Bauru, São Paulo, Brazil.
HRAC - Hospital de Reabilitação de Anomalias Craniofaciais da USP/ Hospital for the Rehabilitation of Craniofacial Anomalies at USP, Bauru, São Paulo, Brazil.
Nutrition Assessment Cleft Lip Cleft Palate

Abstract

Objective: This study aimed to analyze the nutritional status of patients with cleft lip and palate at the time of admission and time of performing primary lip and/or palate surgeries at the Hospital for Rehabilitation of Craniofacial Anomalies of Bauru, Universidade São Paulo. Methods: A retrospective observational study was conducted using medical records of individuals with cleft lip and/or palate who underwent primary lip and/or palate surgeries between 2011 and 2021. Anthropometric data were collected upon hospital admission and before primary lip and/or lip surgery. The Z-scores of the growth curves were calculated according to age and sex using the World Health Organization (WHO) Anthro and WHO AnthroPlus programs. Statistical analysis was performed using the Spearman, analysis of variance (ANOVA), and Student’s t-tests. Results: Of the 218 participants, 50.46% were men, and most of the patients originated from the southeast region (87.16%) with prevalence of cleft palate (52.75%). A correlation was found between weight/height and weight/age indices with the delay in performing primary lip surgery and height/age with the delay in primary palate and lip surgery (Student’s t-test, p < 0.05), and no correlation was found between the nutritional/nutrological status and socioeconomic profile (Spearman correlation test, p < 0.05) and with the place of origin (ANOVA test, p < 0.05). Conclusion: A correlation was found between the weight/height and height/age indices with the delay in performing primary lip surgery and height/age with the delay in primary surgery of the palate and lip.

Metrics

Metrics Loading ...

References

  1. Saal H M. Classification and description of nonsyndromic clefts. Cleft lip and palate: from origin to treatment. New York: Oxford University Press. 2002: 4752.
  2. IPDTOC Working Group. Prevalence at birth of cleft lip with or without cleft palate: data from the International Perinatal Database of Typical Oral Clefts (IPDTOC). Cleft Palate Craniofac J. 2011;48(1):66-81. doi:10.1597/09-217.
  3. Sousa GF, Roncalli AG. Orofacial clefts in Brazil and surgical rehabilitation under the Brazilian National Health System. Braz Oral Res. 2017;31:e23. Published 2017 Mar 30. doi:10.1590/1807-3107BOR-2017.vol31.0023.
  4. Sousa GFT, Roncalli AG. Factors associated with delay in primary surgical treatment of cleft lip and palate in Brazil: a multilevel analysis [Factors associated with the delay in primary surgical treatment of cleft lip and palate in Brazil: a multilevel analysis]. Cien Saude Colet. 2021;26(suppl 2):3505-3515. Published 2021 Aug 30. doi:10.1590/1413-81232021269.2.23592019.
  5. Freitas JA, das Neves LT, de Almeida AL, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) --Part 1: overall aspects. J Appl Oral Sci. 2012;20(1):9-15. doi:10.1590/s1678-77572012000100003.
  6. Manual: Therapeutic steps and procedures: cleft lip and palate, craniofacial anomalies, hearing health and syndromes. Hospital for Rehabilitation of Craniofacial Anomalies, Universidade São Paulo, Bauru-SP, 2018. <http://hrac.usp.br/wpcontent/uploads/2018/02/etapas_e_condutas_terapeuticas_hrac_fev_2018.pdf.>. Accessed on 07 Sep. 2020.
  7. Campbell A, Costello BJ, Ruiz RL. Cleft lip and palate surgery: an update of clinical outcomes for primary repair. Oral maxillofacial surgery clinics of North America.2010; 22(1): 43-58.
  8. Alonso N, Sakai DY, Tanikawa, Lima-Junior JE, Rocha DL, Sterman S, Ferreira MC. Cleft lip and palate: multidisciplinary care protocol and longitudinal followup in 91 consecutive patients. Rev Bras Cir Plast 2009, 24(2):176-181.
  9. Shi B, Losee JE. The impact of cleft lip and palate repair on maxillofacial growth. Int J Oral Sci. 2015;7(1):14-17. Published 2015 Mar 23. doi:10.1038/ijos.2014.59.
  10. American Cleft Palate-Craniofacial Association. Parameters for evaluation and treatment of patients with cleft lip/palate or other craniofacial anomalies. Revised ed. Chapel Hill: North Carolina, American Cleft Palate-Craniofacial Association; 2018. 147 p.
  11. Amstalden-Mendes LG, Magna LA, Gil-da-Silva-Lopes VL. Neonatal care of infants with cleftlipand./or palate: feeding orientation and evolution of weight gain in a nonspecialized Brazilian hospital. Cleft Palate Craniofac J. 2007; 44(3): 329-34.
  12. Amstalden-Mendes LG, Xavier AC, Antunes DK, et al. Time of diagnosis of oral clefts: a multicenter study. J Pediatr (Rio J). 2011;87(3):225-230. doi:10.2223/JPED.2084.
  13. Brazilian Society of Pediatrics. Practical upgrade guide. Scientific Department of Nutology. Child growth assessment. Understanding WHO Anthro and WHO Anthro Plus. 2019-2018.
  14. Brazil. Ministry of Health. Guidelines for the collection and analysis of anthropometric data in health services. Technical standard of the Food and Nutrition Surveillance System – SISVAN. 2011.
  15. World Health Organization. Physical status: the use and interpretation of anthropometry. Technical Report World Health Organization. Geneva: WHO, 1995.
  16. Felix-Schollaart B, Hoeksma JB, Andersen BP. Growth Comparison between children with cleft lip and/or palate and controls. Cleft Palate Craniofacial J. 1992; 29:475-80.
  17. Higo F. Progression of nutrition in patients with cleft palate with or without cleft lip. [master’s theses]. São Paulo: “Faculty of Medicine, University of São Paulo”; 2006. 63.p
  18. Gabriela Serrano Miranda, Study of growth and nutritional status of children with cleft lip and palate from 2 to 10 years of age. HRAC dissertation, 2014.
  19. Kumar P, Hussain MT, Cardoso E, Hawary MB, Hassanain J. Facial clefts in Saudi Arabia: an epidemiologic analysis in 179 patients. Plast Reconstr Surg. 1991;88(6):955-958. doi:10.1097/00006534-199112000-00002.
  20. Cymrot, Moacir et al. Prevalence of cleft types in patients with cleft lip and palate treated at a Pediatric Hospital in Northeast Brazil. Brazilian J Plast Surg. [online]. 2010, v. 25, no. 4 [Accessed 28 February 2022], pp. 648-651. Available at: <https://doi.org/10.1590/S1983-51752010000400015>. Epub 29 Apr 2011. ISSN 1983-5175. https://doi.org/10.1590/S1983-51752010000400015.
  21. Abu HM. Cleft lip and palate: etiological factors, a review. Indian J Dent Adv. 2012; 4(2): 830-37.
  22. Leslie EJ, Marazita ML. Genetics of cleft lip and cleft palate. Am J Med Genet C Semin Med Genet. 2013;163C(4):246-258. doi:10.1002/ajmg.c.31381
  23. Montagnoli, Luiz C. et al. Impaired growth of children with different types of cleft lip and palate in the first 2 years of age: a cross-sectional study. Journal of Pediatrics [online]. 2005, v. 81, no. 6 [Accessed 28 February 2022], pp. 461-465. Available at: <https://doi.org/10.1590/S0021-75572005000800009>. Epub 03 Apr 2006. ISSN 1678-4782. https://doi.org/10.1590/S0021-75572005000800009.
  24. Cassel CH, Daniels J, Meyer RE. Timeliness of primary cleft lip/palate surgery. Cleft Palate Craniofac J 2009; 46(6):588-597.
  25. Abbott MM, kokoroski PJ, Meara JG. Timeliness of surgical care in children with special health care needs: delayed palate repair for publicly insured and minority children with cleft palate. J Pediatric Surg 2011; 46(7):1319-1324.
  26. Rudman D, Davis T, Priest JH, Patterson JH, Kutner MH, Heymsfield SB, et al. Prevalence of growth hormone deficiency in children with cleft lip or palate. J Pediatrician 1978;93:378-82.
  27. Laron Z, Taube E, Kaplan I. Pituitary growth hormone insufficiency associated with cleft lip and palate. An embryonal developmental defect. Helv Paed Acta. 1969;24:576-81.

How to Cite

Canale Peres Montanher, R. ., Prieto de Barros, S. ., Lanza Montanher, P. ., Ribas Filho, D. ., Alonso, N., & Tonello, C. . (2023). Nutritional status of patients at the moment of primary cleft lip and palate surgery: a retrospective observational study. International Journal of Nutrology, 15(4). https://doi.org/10.54448/ijn22405