THE EVALUATION OF MALNUTRITION WITH PREOPERATIVE Z SCORE ANALYSES IN PATIENTS WITH VEAU TYPE 1 AND TYPE 2 CLEFT PALATE VEAU TİP 1 VE TİP 2 DAMAK YARIĞI OLGULARINDA AMELİYAT ÖNCESİ Z SKORU ANALİZİ İLE MALNUTRİSYONUN DEĞERLENDİRİLMESİ


Korkut M., Kozanoğlu E., Kozanoğlu T., Akalin B. E., Gündeş E., Emekli U., ...More

Istanbul Tip Fakultesi Dergisi, vol.87, no.1, pp.76-80, 2024 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 87 Issue: 1
  • Publication Date: 2024
  • Doi Number: 10.26650/iuitfd.1309384
  • Journal Name: Istanbul Tip Fakultesi Dergisi
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.76-80
  • Keywords: Cleft lip, growth restriction, malnutrition, secondary cleft palate, Z score
  • Istanbul University Affiliated: Yes

Abstract

Objective: Cleft lip and palate are the most common congenital anomalies of the head and neck region. According to studies, 13.5% of children under 5 years of age were reported to be underweight. When compared with the global data, this ratio was found to be higher in patients with isolated cleft lip, isolated cleft palate, and cleft lip with cleft palate. This study aimed to evaluate the frequency of malnutrition in isolated Veau type 1 and type 2 cleft palate in an institutional patient group. Material and Methods: Patients with isolated Veau type 1 and type 2 cleft palate who were operated between November 2019 and February 2022 were included in the study. The age (month), height (centimeters), and weight (kilograms) of the patients were noted one day before the surgery, and Z scores were calculated for malnutrition assessment. Result: A total of 40 patients were included in this study. The mean age of the patients was 16.82±2.73 months (7-48 months). Fourteen patients were male whereas 26 patients were female. Malnutrition was not observed in nine patients. Eight patients had chronic mild malnutrition, 5 patients had chronic moderate malnutrition and 13 patients had chronic severe malnutrition. In addition, chronic mild obesity was observed in two patients, chronic moderate obesity was observed in two patients, and chronic severe obesity was observed in one patient. In total, malnutrition was observed in 65% of the patients. Conclusion: One of the most important problems in patients with cleft palate is feeding. Inadequate nutrition predisposes to malnutrition in the preoperative period. To prevent this situation, the patients should be referred for prompt professional nutritionist care and early follow-up.