INCIDENCE OF DYSPHAGIA IN INDIVIDUALS WITH CLEFT PALATE

INCIDENCE OF DYSPHAGIA

Abstract

Analyzing the prevalence of digestive disorders in individuals with cleft palates is the objective of this investigation. Methods: A cross-sectional study was conducted in Department of Speech and Language Pathology, The Children's Hospital in Lahore for a period of three months. The study encompassed approximately 30 infants with variable degrees of untreated cleft lip and palate. Parental interviews and a swallowing protocol were implemented to evaluate each of these instances. Swallowing disorders are examined in this investigation to determine their prevalence in individuals with cleft palates. Results: Out of 30, 28 cases had swallowing disorder in some form while 2 cases were not diagnosed with any form of swallowing disorder. Cough during feeding was present in 10 cases, noisy breath sounds in 11 cases; a history of chest infection was present in 16 cases, drooling was reported in17 cases, regurgitation in 15 cases, choking during feeding was present in 23 cases while 28 of the 30 cases were unable suck during breast feeding. Conclusion: This study found that cleft palate predominantly affects males and isn't usually linked to family history. Symptoms such as swallowing difficulties, coughing, drooling, and feeding issues, particularly chest infections, were more prevalent in cases with both cleft lip and palate, while saliva was most prevalent in cases with cleft palate only.

1. Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: normal and abnormal. Physical medicine and rehabilitation clinics of North America. 2008 Nov 1;19(4):691-707
2. Candotto V, Oberti L, Gabrione F, Greco G, Rossi D, Romano M, Mummolo S. Current concepts on cleft lip and palate etiology. Journal of biological regulators and homeostatic agents. 2019 May 1;33(3 Suppl. 1):145-51.
3. Martinelli M, Palmieri A, Carinci F, Scapoli L. Non-syndromic cleft palate: an overview on human genetic and environmental risk factors. Frontiers in cell and developmental biology. 2020 Oct 20; 8:592271.
4. Vyas T, Gupta P, Kumar S, Gupta R, Gupta T, Singh HP. Cleft of lip and palate: A review. Journal of family medicine and primary care. 2020 Jun 1;9(6):2621-5.
5. Kaufman FL. Managing the cleft lip and palate patient. Pediatric Clinics of North America. 1991 Oct 1;38(5):1127-47.
6. Felix-Schollaart B, Hoeksma JB, Prahl-Andersen B. Growth comparison between children with cleft lip and/or palate and controls. The Cleft palate-craniofacial journal. 1992 Sep;29(5):475-80.
7. Lindner A. Measurement of intra-oral negative air pressure during dummy sucking in human newborn. The European Journal of Orthodontics. 1991 Aug 1;13(4):317-21.
8. Nassar E, Marques IL, Trindade Jr AS, Bettiol H. Feeding-facilitating techniques for the nursing infant with Robin sequence. The Cleft palate-craniofacial journal. 2006 Jan;43(1):55-60.
9. Trenouth MJ, Campbell AN. Questionnaire evaluation of feeding methods for cleft lip and palate neonates. International Journal of Paediatric Dentistry. 1996 Dec;6(4):241-4.
10. Clarren SK, Anderson B, Wolf LS. Feeding infants with cleft lip, cleft palate, or cleft lip and palate. The Cleft palate journal. 1987 Jul 1;24(3):244-9.
11. Arvedson JC, Brodsky L, Arvedson JC, Brodsky LB. Feeding with craniofacial anomalies. Pediatric Swallowing and Feeding: Assessment and Management, 2nd ed. Singular Publishing Group, Albany, NY. 2002:527-61.
12. Delaney KA. Cleft lip and palate: Breastfeeding your baby. Feeding and Nutrition for the Child with Special Needs. 1994:381-4.
13. Dalben GD, Costa B, Gomide MR, Neves LT. Breast-feeding and sugar intake in babies with cleft lip and palate. The Cleft palate-craniofacial journal. 2003 Jan;40(1):84-7.
14. Masarei AG, Wade A, Mars M, Sommerlad BC, Sell D. A randomized control trial investigating the effect of presurgical orthopedics on feeding in infants with cleft lip and/or palate. The Cleft palate-craniofacial journal. 2007 Mar;44(2):182-93.
15. Mizuno K, Ueda A, Kani K, Kawamura H. Feeding behaviour of infants with cleft lip and palate. Acta Paediatrica. 2002 Nov;91(11):1227-32.
16. Reid J, Reilly S, Kilpatrick N. Sucking performance of babies with cleft conditions. The Cleft palate-craniofacial journal. 2007 May;44(3):312-20.
17. Shkoukani MA, Lawrence LA, Liebertz DJ, Svider PF. Cleft palate: a clinical review. Birth Defects Research Part C: Embryo Today: Reviews. 2014 Dec;102(4):333-42.
18. De Vries IA, Breugem CC, Van der Heul AM, Eijkemans MJ, Kon M, van der Molen AM. Prevalence of feeding disorders in children with cleft palate only: a retrospective study. Clinical oral investigations. 2014 Jun; 18:1507-15.x