THE EVALUATION OF MALNUTRITION WITH PREOPERATIVE Z SCORE ANALYSES IN PATIENTS WITH VEAU TYPE 1 AND TYPE 2 CLEFT PALATE

Mehmet Korkut; Erol Kozanoğlu; Tuğba Kozanoğlu; Bora Akalın; Elif Gündeş; Ufuk Emekli; Atilla Arıncı

Makale detayları

THE EVALUATION OF MALNUTRITION WITH PREOPERATIVE Z SCORE ANALYSES IN PATIENTS WITH VEAU TYPE 1 AND TYPE 2 CLEFT PALATE

Yazarlar:

Mehmet Korkut | Erol Kozanoğlu | Tuğba Kozanoğlu | Bora Akalın | Elif Gündeş | Ufuk Emekli | Atilla Arıncı

Yayıncı:

Istanbul University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.87 Issue 1, pp.76-80

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314927

pISSN:

1305-6441

Anahtar kelimeler:

Özet:

 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 16.822.73 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.

 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 16.822.73 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.

 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 16.822.73 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.

 Amaç: Dudak ve damak yarıkları baş boyun bölgesinin en sık görülen konjenital anomalisidir. Çalışmalara göre 5 yaş altı çocukların 13,5u normalden zayıf olarak bildirilmiştir. Bu veri ile global veriler kıyaslandığında izole dudak, izole damak ve hem dudak hem damak yarığı nedeniyle ilk kez ameliyat edilecek hastalarda bu oran daha yüksek bulunmuştur. Bu çalışmanın amacı izole Veau tip 1 ve tip 2 damak yarıklarında malnütrisyon görülme sıklığının kurumumuzun hasta grubunda değerlendirilmesidir. Gereç ve Yöntem: Çalışmaya Kasım 2019 ve Şubat 2022 tarihleri arasında Anabilim Dalımıza başvuran izole Veau tip 1 ve tip 2 damak yarığı olan hastalar dahil edilmiştir. Hastaların ameliyattan bir gün önceki yaşı ay, boyu santimetre, ağırlığı kilogram değerleri not edilmiş olup malnütrisyon değerlendirmesi için Z skorları hesaplanmıştır. Bulgular: Çalışmaya toplamda 40 hasta dahil edildi. Hastaların ortalama yaşı 16.822.73 7-48 ay idi. Hastaların 14ü erkek ve 26sı kızdı. Dokuz hastada malnütrisyon izlenmedi. Sekiz hastada kronik hafif malnütrisyon, beş hastada kronik orta malnütrisyon, on üç hastada kronik ağır malnütrisyon izlendi. Ayrıca iki hastada kronik hafif şişmanlık, iki hastada kronik orta şişmanlık ve bir hastada kronik ağır şişmanlık izlendi. Toplamda 65 hastada malnütrisyon izlendi. Sonuç: Damak yarığı olan hastalarda karşımıza çıkan en önemli sorunlardan biri beslenmedir. Yeterli beslenmenin yapılamaması cerrahi öncesi dönemde malnütrisyona zemin hazırlamaktadır. Bu durumun önüne geçilmesi için hastalar hemen profesyonel beslenme uzmanı desteğine ve erken takibe yönlendirilmelidir.

Makale detayları

THE EVALUATION OF MALNUTRITION WITH PREOPERATIVE Z SCORE ANALYSES IN PATIENTS WITH VEAU TYPE 1 AND TYPE 2 CLEFT PALATE

Yazarlar:

Mehmet Korkut | Erol Kozanoğlu | Tuğba Kozanoğlu | Bora Akalın | Elif Gündeş | Ufuk Emekli | Atilla Arıncı

Yayıncı:

Istanbul University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.87 Issue 1, pp.76-80

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314927

pISSN:

1305-6441

Cleft lip

growth restriction

malnutrition

secondary cleft palate

Z scoreBüyüme geriliği

dudak yarığı

malnutrisyon

sekonder damak yarığı

Z skoru

Sayı

Makale detayları

Yazarlar: Mehmet Korkut | Erol Kozanoğlu | Tuğba Kozanoğlu | Bora Akalın | Elif Gündeş | Ufuk Emekli | Atilla Arıncı

Yayıncı: Istanbul University

Ana Başlıklar: Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: İstanbul Tıp Fakültesi Dergisi Vol.87 Issue 1, pp.76-80

Belge Tipi: Makale

Yayın Tarihi: 1/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001314927

pISSN: 1305-6441

Sayı

Yazarlar:

Mehmet Korkut | Erol Kozanoğlu | Tuğba Kozanoğlu | Bora Akalın | Elif Gündeş | Ufuk Emekli | Atilla Arıncı

Yayıncı:

Istanbul University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.87 Issue 1, pp.76-80

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001314927

pISSN:

1305-6441