Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım

SIRIKEN, FATİH; Ertekin, Arif Aktuğ; AKCAN, ABDULLAH BARIŞ; Pekcan, Gulden; Aydin, Osman Enver; Ceylan, Ender

Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım

Fatih SIRIKEN, (Aydın Adnan Menderes Üniversitesi Araştırma ve Uygulama Hastanesi, Beslenme ve Diyet Birimi, Aydın, Türkiye)

Arif Aktuğ ERTEKİN, (Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Aydın, Türkiye)

Osman Enver AYDIN, (Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Anabilim Dalı, Aydın, Türkiye)

Abdullah Barış AKCAN, (Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Anabilim Dalı, Aydın, Türkiye)

Ender CEYLAN, (Aydın Adnan Menderes Üniversitesi Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Anabilim Dalı, Aydın, Türkiye)

Ayla Gülden PEKCAN (Hasan Kalyoncu Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Gaziantep, Türkiye)

Zeynep Kamil medical journal (Online)

20 10

Yıl: 2021 Cilt: 52 Sayı: 1 Sayfa Aralığı: 53 - 60 Metin Dili: Türkçe İndeks Tarihi: 18-02-2022

Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım

Öz:

Dudak ve/veya damak yarığı en yaygın kraniyofasiyal doğumsal anomalilerden biri olup, en sık orofasiyal bölgede görülür. Yenidoğan bebeklerde bu doğumsal anomalinin görülme sıklığı %15 civarındadır. Bu konjenital malformasyonların patogenenezi tam olarak bilinmemekle beraber, hem beslenme hem de genetik faktörlerin rol oynadığına dair kanıtlar bulunmakta ve bu kanıtlar gün geçtikçe artmaktadır. Dudak ve/veya damak yarığı olan çocuklar, doğumdan sonra beslenme güçlükleri nedeniyle yetersiz beslenebilirler. Bu deformitelere sahip çocukların büyümesi genellikle sağlıklı çocuklara kıyasla bozulmuştur. Bu bebeklerin değerlendirilmesi için multidisipliner bir yaklaşım zorunludur. Başlangıçta dudak ve/veya damak yarığı olan yenidoğanların beslenmesi ebeveynler için büyük bir endişe kaynağıdır. Emzirme, modifiye edilmiş biberonlar ve/veya meme ucu, tıkayıcı plakalar ve anne danışmanlığı ve destek gibi beslenme müdahalelerine ihtiyaç duyulur. Bu yazıda, bu konudaki bazı beslenme sorunlarının ve uyarlamalarının gözden geçirilmesi amaçlanmıştır.

Anahtar Kelime:

Approach to feeding problems in babies with cleft lip and/or palate

Öz:

Cleft lip and/or palate is one of the most common craniofacial congenital anomalies and is most common in the orofacial region. The incidence of this congenital anomaly in newborn babies is around 15%. Although the pathogenesis of these congenital malformations is not fully known, there is evidence that both dietary and genetic factors play a role, and this evidence is increasing day by day. Children with cleft lip and/or palate may be malnourished after birth due to nutritional difficulties. Children with these deformities are often impaired in growth compared to healthy children. A multidisciplinary approach is mandatory for the evaluation of these babies. Feeding newborns with cleft lip and/or palate in the beginning is a major concern for parents. Nutritional interventions such as breastfeeding, modified bottles and/or nipple, occlusive pads and maternal counseling and support are needed, so this article aims to review some nutritional issues and adaptations in this regard.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Hoşnuter M, Aktunç E, Kargı E, Ünalacak M, Babucçu O, Demircan N, et al. Yarık damak dudak aile rehberi. Süleyman Demirel Üni. Tıp Fak Derg 2002;9:9−13.
2. Kızılelma Yiğit A, Oğuz ŞS, Dilmen U. Dudak ve damak yarıkları olan vakaların derlenmesi ve büyümelerinin izlemi. Jine - Obste ve Neon Tıp Derg 2015; 12: 80−82.
3. Gillham JC, Anand S, Bullen PJ. Antenatal detection of cleft lip with or without cleft palate: incidence of associated chromosomal and structural anomalies. Ultrasound Obstet Gynecol. 2009;34:410−5.
4. Türkmen A. Dudak damak yarıklarının sınıflandırılması.Turkiye Klinikleri J PlastSurg-Special Topics 2011;3:33−7.
5. Bekerecioğlu M, Türkmen A. Konjenita yarık damak ve dudak anomalileri. Turkiye Klinikleri J E.N.T.-Special Topics 2011;4:43−7.
6. Öner DA, Taştan H. Cleft lip and palate: Epidemiology and etiology. Otorhinolaryngology-Head and Neck Surg 2020;5:1−5.
7. 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;48:66−81.
8. Brito LA, Cruz LA, Rocha KM, Barbara LK, Silva CB, Bueno DF, et al. Genetic contribution for non-syndromic cleft lip with or without cleft palate (NS CL/P) in different regions of Brazil and implications for association studies. Am J Med Genet A 2011;155A:1581−7.
9. Ulucan K, Akçay A, Ersoy B, Kiraç D, Akçay T, Ergeç D et al. Regional dispersion of non-syndromic cleft lip with/without palate Turkish children patients and possible geographical effects. MÜSBED 2012;2:164−68.
10. Lowry RB, Johnson CY, Gagnon F, Little J. Segregation analysis of cleft lip with or without cleft palate in the First Nations (Amerindian) people of British Columbia and review of isolated cleft palate etiologies. Birth Defects Res A Clin Mol Teratol 2009;85:568−73.
11. Merritt L. Part 1. Understanding the embryology and genetics of cleft lip and palate. Adv Neonatal Care 2005;5:64−71.
12. Schutte BC, Murray JC. The many faces and factors of orofacial clefts. Hum Mol Genet 1999;8:1853−9.
13. Prescott NJ, Winter RM, Malcolm S. Maternal MTHFR genotype contributes to the risk of non-syndromic cleft lip and palate. J Med Genet 2002;39:368−9.
14. Shkoukani MA, Chen M, Vong A. Cleft lip - a comprehensive review. Front Pediatr 2013;1:53.
15. Clark JD, Mossey PA, Sharp L, Little J. Socioeconomic status and orofacial clefts in Scotland, 1989 to 1998. Cleft Palate Craniofac J 2003;40:481−5.
16. Miranda GS, Marques IL, de Barros SP, Arena EP, de Souza L. Weight, length, and body mass ındex growth of children under 2 years of age with cleft lip and palate. Cleft Palate Craniofac J 2016;53:264−71.
17. Shaw GM, Lammer EJ, Wasserman CR, O’Malley CD, Tolarova MM. Risks of orofacial clefts in children born to women using multivitamins containing folic acid periconceptionally. Lancet 1995;346:393−6.
18. Tolarova M, Harris J. Reduced recurrence of orofacial clefts after periconceptional supplementation with high-dose folic acid and multivitamins. Teratology 1995;51:71−8.
19. van Rooij IA, Ocké MC, Straatman H, Zielhuis GA, Merkus HM, Steegers-Theunissen RP. Periconceptional folate intake by supplement and food reduces the risk of nonsyndromic cleft lip with or without cleft palate. Prev Med 2004;39:689−94.
20. Shetty MS, Khan MB. Feeding considerations in ınfants born with cleft lip and palate. APOS Trends in Orthodontics 2016; 6:49−53.
21. Cunningham ML, Jerome JT. Linear growth characteristics of children with cleft lip and palate. J Pediatr 1997;131:707−11.
22. Ma K, Du M, Luo C, Yin G, Liu Q, Wei Q, et al.The relationship between cleft lip and palate children with the trace elements in serum. Int J Clin Exp Pathol 2016;9:5665−672.
23. Marques IL, Nackashi JA, Borgo HC, Martinelli AP, Pegoraro-Krook MI, Williams WN, et al. Longitudinal study of growth of children with unilateral cleft-lip palate from birth to two years of age. Cleft Palate Craniofac J 2009;46:603−9.
24. Seth AK, McWilliams BJ. Weight gain in children with cleft palate from birth to two years. Cleft Palate J 1988;25:146−50.
25. Kelly EE. Feeding cleft palate babies--today’s babies, today’s methods. Cleft Palate J 1971;8:61−4.
26. Tungotyo M, Atwine D, Nanjebe D, Hodges A, Situma M. The prevalence and factors associated with malnutrition among infants with cleft palate and/or lip at a hospital in Uganda: a cross-sectional study. BMC Pediatr 2017;17:17.
27. Felix-Schollaart B, Hoeksma JB, Prahl-Andersen B. Growth comparison between children with cleft lip and/or palate and controls. Cleft Palate Craniofac J 1992;29:475−80.
28. Turner L, Jacobsen C, Humenczuk M, Singhal VK, Moore D, Bell H. The effects of lactation education and a prosthetic obturator appliance on feeding efficiency in infants with cleft lip and palate. Cleft Palate Craniofac J 2001;38:519−24.
29. Gopinath VK. Assessment of nutrient intake in cleft lip and palate children after surgical correction. Malays J Med Sci 2013;20:61−6.
30. Choi BH, Kleinheinz J, Joos U, Komposch G. Sucking efficiency of early orthopaedic plate and teats in infants with cleft lip and palate. Int J Oral Maxillofac Surg 1991;20:167−9.
31. Britton KF, McDonald SH, Welbury RR. An investigation into infant feeding in children born with a cleft lip and/or palate in the West of Scotland. Eur Arch Paediatr Dent 2011;12:250−5.
32. Cockell A, Lees M. Prenatal diagnosis and management of orofacial clefts. Prenat Diagn 2000;20:149−51.
33. World Health Organization, UNICEF and Well start International. Baby Friendly Hospital Initiative, Revised Updated and Expanded for Integrated Care, 2009. Available at: https://apps.who.int/iris/bitstream/handle/10665/43593/9789241594967_eng.pdf;jsessionid=335B23BCA9A2A91FF3662E309DCBD6CE?sequence=1 Accessed: 24 Mar 2021
34. Prasse JE, Kikano GE. An overview of pediatric dysphagia. Clin Pediatr (Phila) 2009;48:247−51.
35. Cinel G, Demir N, Özçelik U, Karaduman AA. Çocuklarda yutma disfonksiyonu. Çocuk Sağl ve Hast Derg 2013; 56: 89−96.
36. 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. Cleft Palate Craniofac J 2007;44:182−93.
37. Masarei AG, Sell D, Habel A, Mars M, Sommerlad BC, Wade A. The nature of feeding in infants with unrepaired cleft lip and/or palate compared with healthy noncleft infants. Cleft Palate Craniofac J 2007;44:321−8.
38. Eroğlu L, Aslan O. Dudak damak yarıklı hastalarda beslenme ve aile psikolojisi. Türkiye Klinikleri J Plast Surg 2011;3:45−9.
39. Clarren SK, Anderson B, Wolf LS. Feeding infants with cleft lip, cleft palate, or cleft lip and palate. Cleft Palate J 1987;24:244−9.
40. Reilly S, Reid J, Skeat J, Cahir P, Mei C, Bunik M; Academy of Breastfeeding Medicine. ABM clinical protocol #18: guidelines for breastfeeding infants with cleft lip, cleft palate, or cleft lip and palate, revised 2013. Breastfeed Med 2013;8:349−53.
41. Devi ES, Sai Sankar AJ, Manoj Kumar MG, Sujatha B. Maiden morsel - feeding in cleft lip and palate infants. J Int Soc Prev Community Dent 2012;2:31−7.
42. Styer GW, Freeh K. Feeding infants with cleft lip and/or palate. JOGN Nurs 1981;10:329−32.
43. Schaefer RB, Stadler JA 3rd, Gosain AK. To distract or not to distract: an algorithm for airway management in isolated Pierre Robin sequence. Plast Reconstr Surg 2004;113:1113−25.
44. Reid J, Kilpatrick N, Reilly S. A prospective, longitudinal study of feeding skills in a cohort of babies with cleft conditions. Cleft Palate Craniofac J 2006;43:702−9.
45. Katge F, Dalvi S, Shetty A, Shetty S. Feeding Intervention in Cleft Lip and Palate patients:A Review. Int J Dent Med Res 2014,1,143−47.
46. Başkale H, Serçekuş P. Anne sütünün saklama koşullarına yönelik güncel bilgi ve uygulamalar. DEUHYO ED 2014;7: 311−14.
47. Redford-Badwal DA, Mabry K, Frassinelli JD. Impact of cleft lip and/or palate on nutritional health and oral-motor development. Dent Clin North Am 2003;47:305−17.
48. Ize-Iyamu IN, Saheeb BD. Feeding intervention in cleft lip and palate babies: a practical approach to feeding efficiency and weight gain. Int J Oral Maxillofac Surg 2011;40:916−9.
49. Fillies T, Homann C, Meyer U, Reich A, Joos U, Werkmeister R. Perioperative complications in infant cleft repair. Head Face Med 2007;3:9.
50. Cohen M, Marschall MA, Schafer ME. Immediate unrestricted feeding of infants following cleft lip and palate repair. J Craniofac Surg 1992;3:30−2.
51. Marazita ML, Mooney MP. Current concepts in the embryology and genetics of cleft lip and cleft palate. Clin Plast Surg 2004;31:125−40.
52. Gopinath VK. Assessment of nutrient intake in cleft lip and palate children after surgical correction. Malays J Med Sci 2013;20:61−6.

APA	SIRIKEN F, Ertekin A, Aydin O, AKCAN A, Ceylan E, Pekcan G (2021). Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. , 53 - 60.
Chicago	SIRIKEN FATİH,Ertekin Arif Aktuğ,Aydin Osman Enver,AKCAN ABDULLAH BARIŞ,Ceylan Ender,Pekcan Gulden Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. (2021): 53 - 60.
MLA	SIRIKEN FATİH,Ertekin Arif Aktuğ,Aydin Osman Enver,AKCAN ABDULLAH BARIŞ,Ceylan Ender,Pekcan Gulden Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. , 2021, ss.53 - 60.
AMA	SIRIKEN F,Ertekin A,Aydin O,AKCAN A,Ceylan E,Pekcan G Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. . 2021; 53 - 60.
Vancouver	SIRIKEN F,Ertekin A,Aydin O,AKCAN A,Ceylan E,Pekcan G Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. . 2021; 53 - 60.
IEEE	SIRIKEN F,Ertekin A,Aydin O,AKCAN A,Ceylan E,Pekcan G "Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım." , ss.53 - 60, 2021.
ISNAD	SIRIKEN, FATİH vd. "Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım". (2021), 53-60.

APA	SIRIKEN F, Ertekin A, Aydin O, AKCAN A, Ceylan E, Pekcan G (2021). Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. Zeynep Kamil medical journal (Online), 52(1), 53 - 60.
Chicago	SIRIKEN FATİH,Ertekin Arif Aktuğ,Aydin Osman Enver,AKCAN ABDULLAH BARIŞ,Ceylan Ender,Pekcan Gulden Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. Zeynep Kamil medical journal (Online) 52, no.1 (2021): 53 - 60.
MLA	SIRIKEN FATİH,Ertekin Arif Aktuğ,Aydin Osman Enver,AKCAN ABDULLAH BARIŞ,Ceylan Ender,Pekcan Gulden Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. Zeynep Kamil medical journal (Online), vol.52, no.1, 2021, ss.53 - 60.
AMA	SIRIKEN F,Ertekin A,Aydin O,AKCAN A,Ceylan E,Pekcan G Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. Zeynep Kamil medical journal (Online). 2021; 52(1): 53 - 60.
Vancouver	SIRIKEN F,Ertekin A,Aydin O,AKCAN A,Ceylan E,Pekcan G Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım. Zeynep Kamil medical journal (Online). 2021; 52(1): 53 - 60.
IEEE	SIRIKEN F,Ertekin A,Aydin O,AKCAN A,Ceylan E,Pekcan G "Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım." Zeynep Kamil medical journal (Online), 52, ss.53 - 60, 2021.
ISNAD	SIRIKEN, FATİH vd. "Dudak ve/veya damak yarığı olan bebeklerde beslenme problemlerine yaklaşım". Zeynep Kamil medical journal (Online) 52/1 (2021), 53-60.