Cheiloplasty associated to a palatal obturator in a preterm infant with a cleft lip and palate - 23/11/17
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Abstract |
Introduction |
Preterm infants are commonly treated by non-invasive ventilation (NIV) and nasal continuous positive airway pressure (CPAP), which are associated with fewer complications than nasotracheal intubation. In preterm infants with a cleft lip and palate, this method of respiratory management is difficult or impossible to perform because of air leakage through the cleft defect.
Case |
We report a male infant who was born at 29 weeks of gestation with a left complete unilateral cleft lip and palate. Birth weight was 900 grammes. Because of the cleft, we have any problems to ventile this infant. We decide to close the cleft prematurely on day 17 after multidisciplinary discussion.
Discussion |
NIV cannot be performed with the usual equipment in very premature infants with a cleft lip and palate because of air leakage through the cleft defect. Very few studies report pre term infant with cleft lip and palate and his difficulties of ventilation. This is the first case reported to perform cheiloplasty on a 900g preterm infant.
Le texte complet de cet article est disponible en PDF.Keywords : Cleft, Preterm infant, Non-invasive ventilation
Plan
| ☆ | Manuscript presented orally at: French association for cleft lip and palate meeting in March 2012 in Paris; European Congress for cranio-maxillofacial surgery in September 12 in Dubrovnik (Croatia). |
Vol 118 - N° 5
P. 313-315 - octobre 2017 Retour au numéro
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