Open AccessAn assessment of isolated cleft palate impact on weight gain in preoperative period
Author(s) -
Sorin Tală,
Teleorman Spitalul Judeţean de Urgenţă Alexandria,
Dan Mircea Enescu,
Mircea Andriescu,
Bucureşti Spitalul Clinic de Urgenţă pentru Copii „Grigore Alexandrescu“,
Bucureşti Spitalul de Pediatrie MedLife
Publication year - 2016
Publication title -
romanian journal of medical practice
Language(s) - English
Resource type - Journals
eISSN - 2069-6108
pISSN - 1842-8258
DOI - 10.37897/rjmp.2016.1.14
Subject(s) - medicine , hard palate , percentile , pediatrics , retrospective cohort study , reconstructive surgery , weight gain , dentistry , body weight , surgery , statistics , mathematics
Objective. Impact assessment of cleft palate only on weight gain in children who did not receive surgery yet. Methods. This paper is a synthesis of a retrospective study conducted during 2005-2008 on 21 patients with cleft palate only and operated in Pediatric Surgery and Plastic Surgery Clinics of „Grigore Alexandrescu“ Emergency Children’s Hospital, Bucharest, taking into account patients’ sex, age and weight in the time of surgery and cleft palate type. Results. This study shows that most patients with cleft palate only who didn’t performed reconstructive surgery have low weight compared with the weight for age growth standards. Thus, 38.09% of patients were under p25 percentile weight curve. The trend is more visible in females: 36.36% of girls’ weight, compared to 27.27% of boys’ weight, is located below this line. Cleft palate type directly correlates with the degree of malnutrition in these patients: 87.5% of children with complete cleft palate showed preoperative weight beneath p25. Conclusions. Cleft palate only children have a weight lower than the average weight for age in preoperative period, a finding that reinforces the need for surgery of this malformation. The study also highlights the importance of closely monitoring the weight of these patients before reparative surgery in order to improve the outcomes.