The Prosthetic Obturator Appliance In The Treatment Of Cleft Lip And Palate In Newborns: Series Of Cases

Fanomezana V Rabenandrasana, Laingonarindra N Ranaivoarisoa, Max E Radafisolo, John A B Razafindrabe, Juvence Ramaroson, Liantsoa F E Ralaiarimanana, Richard A Rakotoarison


Cleft lip and cleft palate are common defects in head and neck area. The treatment is mainly surgical but while waiting for the primary surgery which is not immediate, a pre-surgical management must be undertaken for the success of the diet and the surgery. In the present study, the use of the passive palatal obturator was chosen to demonstrate its efficacy in the pre-surgical management of cleft lip and/or palate in newborns.

This is a serial case report of newborns with cleft lip and / or palate aged 2 to 27- day-old. Two suffered from BCLP (bilateral cleft palate), one from UCLP (unilateral cleft palate) and one IBCP (incomplete bilateral cleft palate). The conventional palatal obturator design-manufacturing stages was adopted. The impression was made with Polyvinyl siloxane impression material and flexible thermal-forming (ethylene vinyl acetate sheet) material was used for manufacturing the feeding obturator. A combined method (feeding obturator and lactation education) has been adopted for feeding success.

As results, with palatal obturator in the mouth, each newborn exhibited good sucking-swallowing-breathing coordination at the time of suckling. During the 3-month follow-up period, weight gain was observed in the reported infants in which those affected by UCLP and CP gained more (1920g, 2200g) than others (700g, 1100g).

The combined use of a palatal obturator and lactation education was associated with weight gain.


cleft,obturator, palate, prosthetic

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