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

Cornelia J J M Caron; Britt I Pluijmers; K F M Joosten; David Dunaway; Bonnie L Padwa; Eppo B Wolvius; Maarten J Koudstaal

doi:10.1016/j.jcms.2018.07.017

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

J Craniomaxillofac Surg. 2018 Oct;46(10):1777-1782. doi: 10.1016/j.jcms.2018.07.017. Epub 2018 Jul 29.

Authors

Cornelia J J M Caron¹, Britt I Pluijmers², K F M Joosten³, David Dunaway⁴, Bonnie L Padwa⁵, Eppo B Wolvius⁶, Maarten J Koudstaal⁷

Affiliations

¹ The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands. Electronic address: c.caron@erasmusmc.nl.
² The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands. Electronic address: b.pluijmers@erasmusmc.nl.
³ The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands. Electronic address: k.joosten@erasmusmc.nl.
⁴ The Craniofacial Unit, Great Ormond Street Hospital, 30 Guilford Street, London, WC1N1EH, United Kingdom. Electronic address: david.dunaway@gosh.nhs.uk.
⁵ The Craniofacial Centre, Boston Children's Hospital, 300 Longwood Avenue, Hunnewell Building, Boston, MA, 02115, United States. Electronic address: Bonnie.Padwa@childrens.harvard.edu.
⁶ The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands. Electronic address: e.wolvius@erasmusmc.nl.
⁷ The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands; The Craniofacial Unit, Great Ormond Street Hospital, 30 Guilford Street, London, WC1N1EH, United Kingdom; The Craniofacial Centre, Boston Children's Hospital, 300 Longwood Avenue, Hunnewell Building, Boston, MA, 02115, United States. Electronic address: m.koudstaal@erasmusmc.nl.

PMID: 30158061
DOI: 10.1016/j.jcms.2018.07.017

Abstract

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.

Keywords: Craniofacial microsomia; Feeding difficulties; Hemifacial microsomia; Nasogastric tube; Retrospective study.

Publication types

Multicenter Study

MeSH terms

Adolescent
Adult
Age Factors
Child
Child, Preschool
Cleft Lip / complications
Cleft Palate / complications
Eating
Feeding and Eating Disorders / etiology*
Female
Goldenhar Syndrome / complications*
Goldenhar Syndrome / pathology
Humans
Infant
Infant, Newborn
Male
Retrospective Studies
Sleep Apnea, Obstructive / etiology
Young Adult