Breast feeding for cleft lip and palate patients, using the Hotz-type plate.
OBJECTIVE
Oral-cavity feeding movements were analyzed during sucking and used to modify a Hotz-type plate to facilitate sucking in infants with cleft lip and palate.


METHODS
Sucking movements were analyzed using lateral view cine radiography as three adults fed from a bottle. A Hotz-type plate was then modified to better isolate the oral cavity and to occlude the oral airway. The plate was then utilized in direct breast feeding by 10 babies.


METHODS
Sucking rate, amount of milk taken, and duration of use of the plate were assessed.


RESULTS
Wearing this plate, four babies with cleft lip and palate could suck their mother's breast, drinking about 22 g/trial.


CONCLUSIONS
Although supplemental bottle feeding was required to provide enough nourishment, this is the first step to reaching ideal breast feeding situation for these patients.
Kogo
M
M
First Department of Oral and Maxillofacial Surgery, Osaka University, Faculty of Dentistry, Japan.
Okada
G
G
Ishii
S
S
Shikata
M
M
Iida
S
S
Matsuya
T
T
D000328:Adult; D001903:Bottle Feeding; D001942:Breast Feeding; D002933:Cineradiography; D002971:Cleft Lip / Q000503:physiopathology / Q000534:rehabilitation*; D002972:Cleft Palate / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D008895:Milk, Human; D009055:Mouth / Q000000981:diagnostic imaging / Q000503:physiopathology; D010158:Palatal Obturators; D010160:Palate, Soft / Q000503:physiopathology; D011474:Prosthesis Design; D013391:Sucking Behavior; D013499:Surface Properties; D013997:Time Factors; D014059:Tongue / Q000503:physiopathology; D015430:Weight Gain