Cheiloplasty associated to a palatal obturator in a preterm infant with a cleft lip and palate - Ecole Nationale du Génie de l'Eau et de l'Environnement de Strasbourg Accéder directement au contenu
Article Dans Une Revue Journal of Stomatology, Oral and Maxillofacial Surgery Année : 2017

Cheiloplasty associated to a palatal obturator in a preterm infant with a cleft lip and palate

Résumé

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 900 g preterm infant.
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Dates et versions

hal-02296459 , version 1 (25-09-2019)

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H. Bénateau, A.-S. Trentesaux, A. Chatellier, J. Laurent, A. Bellot, et al.. Cheiloplasty associated to a palatal obturator in a preterm infant with a cleft lip and palate. Journal of Stomatology, Oral and Maxillofacial Surgery, 2017, 118 (5), pp.313-315. ⟨10.1016/j.jormas.2017.06.006⟩. ⟨hal-02296459⟩
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