Affiliation:
1. I.M. Sechenov First Moscow State Medical University (Sechenov University);Speransky Children’s City Clinical Hospital No.9
2. I.M. Sechenov First Moscow State Medical University (Sechenov University)
3. Speransky Children’s City Clinical Hospital No.9
4. I.M. Sechenov First Moscow State Medical University (Sechenov University); Speransky Children’s City Clinical Hospital No.9
Abstract
The article discusses the interdisciplinary interaction of pediatricians, surgeons, orthodontists, anesthesiologists, and otorhinolaryngologists in the complex rehabilitation of newborns with bilateral cleft lip and palate. Purpose. The aim of the study was to increase the effectiveness of treatment of newborns with bilateral cleft lip and palate due to preliminary orthodontic treatment. Characteristics of children and research methods. A comprehensive diagnosis and treatment of 32 patients with a diagnosis of complete bilateral cleft lip and palate were carried out. The patients were divided into two subgroups. In the first subgroup (n=16), newborns were fed using an anatomical nipple; in the second subgroup (n=16), newborns underwent presurgical orthodontic treatment using individual obturators. Results. Early presurgical orthodontic intervention with the use of individual obturators allows normalizing the process of breastfeeding in newborns. It is proved that the interdisciplinary interaction of doctors of related specialties allows for a comprehensive diagnosis, counseling and subsequent surgical treatment of newborns with bilateral cleft lip and palate. Conclusion. The proposed approach can be useful for doctors of all pediatric profiles. The development of an integrated approach in the newborn period allows specialists to implement a competent step-by-step treatment of patients from birth to 18 years old.
Publisher
The National Academy of Pediatric Science and Innovation
Subject
Pediatrics, Perinatology and Child Health
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