Feeding difficulties in craniofacial microsomia: A multicenter retrospective analysis of 755 patients

A retrospective cohort study was initiated to analyse the prevalence, risk factors and treatment modalities of feeding difficulties in patients with craniofacial microsomia. This study included 755 subjects with craniofacial microsomia from three craniofacial centres. Medical charts were reviewed fo...

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Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 2018-10, Vol.46 (10), p.1777-1782
Main Authors: Caron, Cornelia J.J.M., Pluijmers, Britt I., Joosten, K.F.M., Dunaway, David, Padwa, Bonnie L., Wolvius, Eppo B., Koudstaal, Maarten J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Child
Child, Preschool
Cleft Lip - complications
Cleft Palate - complications
Craniofacial microsomia
Dentistry
Eating
Feeding and Eating Disorders - etiology
Feeding difficulties
Female
Goldenhar Syndrome - complications
Goldenhar Syndrome - pathology
Hemifacial microsomia
Humans
Infant
Infant, Newborn
Male
Nasogastric tube
Retrospective Studies
Retrospective study
Sleep Apnea, Obstructive - etiology
Young Adult
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Summary:A retrospective cohort study was initiated to analyse the prevalence, risk factors and treatment modalities of feeding difficulties in patients with craniofacial microsomia. This study included 755 subjects with craniofacial microsomia from three craniofacial centres. Medical charts were reviewed for severity of the deformity, documented feeding difficulties, age at which feeding difficulties first presented and treatment, presence of cleft lip/palate, extracraniofacial anomalies, and obstructive sleep apnoea. In total, 199 patients (26.4%) had documented feeding difficulties. Patients with bilateral involvement, Pruzansky-Kaban III classification, cleft lip/palate, or obstructive sleep apnoea were significantly more at risk for developing feeding difficulties and significantly more often needed additional feeding via a nasogastric tube than patients without these risk factors.
ISSN:1010-5182
1878-4119
DOI:10.1016/j.jcms.2018.07.017