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Feeding Performance and Outcomes in Infants With Robin Sequence Undergoing Mandibular Distraction Osteogenesis.
- Source :
-
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 Feb; Vol. 61 (2), pp. 295-301. Date of Electronic Publication: 2022 Sep 21. - Publication Year :
- 2024
-
Abstract
- To describe perioperative feeding performance in infants with Robin sequence (RS) who underwent mandibular distraction osteogenesis (MDO).<br />A retrospective study of infants that underwent MDO from May 2010 to December 2019.<br />Tertiary pediatric hospital.<br />A total of 40 patients underwent MDO and 20 met inclusion criteria. Of the included infants, 6 had an associated syndrome and 80% were male.<br />Time to full oral feeds, rate of G-tube placement, and change in weight percentile following MDO.<br />Average oral intake prior to MDO was 22.1% of individual goal feeds. Among the 15 (75%) children that did not require G-tube placement, mean time to full oral feeds after MDO was 11 days ± 5.7 days, with 80% of infants reaching full oral feeds within 2 weeks after extubation. The proportion of G-tube placement in patients with a syndrome was higher than in isolated RS (-0.6; 95% CI: -1.0, -0.2). Mean percentages of weight-for-age percentile decreased during the first 3 months after the procedure. This was followed by a mean upturn in weight starting after the third month after MDO with a recovery to preoperative mean weight-for-age percentiles by 6 months after surgery.<br />This study suggests that infants with RS may achieve full oral feeds despite poor feeding performance before MDO. Infants with syndromic RS are more likely to require G-tube. These findings may be used to inform G-tube discussion and offer a timeline to work toward goal oral feeds for infants with RS after MDO.<br />Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Details
- Language :
- English
- ISSN :
- 1545-1569
- Volume :
- 61
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
- Publication Type :
- Academic Journal
- Accession number :
- 36128745
- Full Text :
- https://doi.org/10.1177/10556656221127542