Cleft Palate-Craniofacial Journal最新文献

{"title":"Factors Influencing Nasoalveolar Molding Treatment Completion and Noncompletion in Infants with Cleft Lip and Palate.","authors":"Elisa I Herrman, Ross A Dierkhising, Sarah K Lee, Thomas J Salinas, Elise W Sarvas, Christopher F Viozzi, Olivia M Muller","doi":"10.1177/10556656241293682","DOIUrl":"10.1177/10556656241293682","url":null,"abstract":"<p><p>ObjectiveIdentify sociodemographic factors and comorbidities predictive of nasoalveolar molding (NAM) treatment completion and noncompletion in infants with cleft lip with or without (+/-) cleft palate in a rural-suburban population.DesignRetrospective cohort study.SettingTertiary medical center.Patients, ParticipantsInfants diagnosed with cleft lip +/- cleft palate who initiated NAM treatment between 2013 and 2023. Forty-seven patients met inclusion criteria.Main Outcome Measure(s)Prevalence of NAM treatment completion, defined as continued attendance of NAM appointments until initial lip repair surgery.ResultsNAM treatment noncompletion rate of 23.4%. Noncomplete NAM treatment was associated with greater additional unscheduled NAM visits (<i>P</i> < .001); increased days inpatient after birth (<i>P</i> < .001); NICU admission (<i>P</i> < .001); public insurance (<i>P</i> = .007); preterm birth (<i>P</i> = .008); history of social work visits (<i>P</i> = .024); increased comorbidities (<i>P</i> = .028); non-Caucasian race (<i>P</i> = .034); and presence of siblings (<i>P</i> = .036). Associated comorbidities included use of feeding tube (<i>P</i> < .001); and conditions related with renal (<i>P</i> < .001); cardiac (<i>P</i> = .004); failure to thrive (<i>P</i> = .009); syndromes (<i>P</i> = .009); orthopedic (<i>P</i> = .011); pulmonary (<i>P</i> = .022); and ophthalmologic systems (<i>P</i> = .041).ConclusionsIncreased overall health complexity, public insurance status, and need for social work support were identified as factors associated with NAM noncompletion. These variables can help identify patients at risk of noncompletion and empower providers to supply individualized support and resources.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"214-222"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Utility of Pneumatic Cavity Volume in the Treatment of Exudative Otitis Media in Children with Cleft Palate.","authors":"Koichiro Oyake, Yasunobu Amari, Aya Sakikawa, Izumi Sugitani, Yukiko Inoue, Tomotaka Shimura, Yojiro Kawamura, Hitome Kobayashi, Toshikazu Shimane, Sei Kobayashi","doi":"10.1177/10556656231215717","DOIUrl":"10.1177/10556656231215717","url":null,"abstract":"<p><p>ObjectiveMeasure the volume of air-containing space in children with cleft palate and assess age-related changes, recurrence rate of otitis media with effusion (OME) after tube removal, and temporal bone development trend based on time of tube placement.DesignInterventional prospective study.SettingCleft Lip and Palate Center at a Tertiary-level institution.Patients/ParticipantsOne hundred sixty-eight ears of 86 patients who visited our center from January 2018 to December 2019.InterventionsWe performed tympanometry (impedance audiometry) after tube placement.Main Outcome MeasuresRecurrence (at least one episode of OME after tympanic membrane closure), tympanic cavity volumes, and timing of tube placement.ResultsThe mean air-containing cavity volume was 1.62 mL, 2.99 mL, and 3.29 mL in patients aged 1, 2, and 3 years, respectively. A rapid increase in volume was observed around 2 years of age. Twenty-two (42.3%) of the 52 ears with pneumatic cavity volumes <3 mL, and four (14.3%) of the 28 ears with pneumatic cavity volumes ≥3 mL had recurrence. Tubes were placed at ages <1 year and ≥1 year in 28 and 62 ears, respectively. The pneumatic cavity volume tended to be greater in the ears with tube placement at age <1 year.ConclusionThis study provided insights into using pneumatic cavity volume measurements to determine the appropriate timing for tube removal. Tubes should be placed as early as possible (before the age of 2 years) for prolonged OME associated with children with cleft palate.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"309-315"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Special Issue Introduction: Spotlight on Early-Career Researchers of the American Cleft Palate-Craniofacial Association.","authors":"Katelyn J Kotlarek, James J Cray","doi":"10.1177/10556656251316722","DOIUrl":"10.1177/10556656251316722","url":null,"abstract":"<p><p>A special issue of the <i>Cleft Palate-Craniofacial Journal</i> was curated to highlight early-career researchers of the American Cleft Palate-Craniofacial Association and their innovative research contributions. This collection of 13 manuscripts, all led by early-career researcher authors of diverse disciplines and training, represents a wide variety of topics related to the science surrounding craniofacial care.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"177-178"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Back to the Bottle: Comparison of Palatoplasty Outcomes Before and After Systematic Changes to Postoperative Precaution Protocols.","authors":"Margaret M Lico, Jesus Rodrigo Diaz-Siso, Sydney Gayner, Leya Groysman, Matteo Laspro, Allison L Diaz, Amanda L Young, Liliana Camison-Bravo, Roberto L Flores","doi":"10.1177/10556656241297813","DOIUrl":"10.1177/10556656241297813","url":null,"abstract":"<p><p>Main ObjectiveTo analyze postoperative palatoplasty outcomes before and after systemic protocol changes to preferred bottle and arm immobilizer use after surgery.DesignRetrospective, cohort study.SettingUrban, academic, tertiary medical center in New York City, NY.ParticipantsEighty-four patients who underwent primary palatoplasty and met inclusion criteria during 1 of 2 treatment periods, 2016 to 2017 (group A, <i>n </i>= 45) and 2019 to 2020 (group B, <i>n </i>= 39).InterventionsProtocols were amended over the 2018 calendar year to allow for utilization of the baby's preferred bottle (vs alternative feeding methods) and hand socks (vs arm immobilizers) in the immediate postoperative period. Data was extrapolated from electronic medical records to compare surgical outcomes.Main Outcome MeasuresPostoperative wound complications (fistula and dehiscence) that did not resolve within 1 month, length of stay (hours), and 30-day re-admission. Nonparametric Mann-Whitney U tests and Fisher's Exact test were utilized for statistical analysis.ResultsThere were no statistically significant differences between sex, age at surgery, Veau classification, or hard and soft palate surgical repair technique. Group A had a wound complication rate of 8.7% (n = 4) versus a 2.6% rate (n = 1) for group B. No patients were re-admitted to the hospital from either group. There were no statistically significant differences between groups regarding length of stay (<i>P</i> = .528) or wound complication (<i>P</i> = .366).ConclusionsThe findings from this study suggest relaxing postoperative protocols following palatoplasty to allow immediate bottle feedings and unrestricted arm use may be safe without compromise to surgical outcomes.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"234-240"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Levator Veli Palatini Muscle Ratio Is a Clinically Significant Anatomic Predictor for Velopharyngeal Surgical Need.","authors":"Kazlin N Mason, Thomas Gampper, Jonathan Black","doi":"10.1177/10556656241298833","DOIUrl":"10.1177/10556656241298833","url":null,"abstract":"<p><p>ObjectiveVelopharyngeal insufficiency (VPI) poses challenges for normal speech production, often necessitating surgical intervention. Determining optimal candidates for surgery remains complex and requires a nuanced understanding of underlying anatomic factors contributing to VPI. This study aimed to identify anatomic predictors that drive surgical recommendations for VPI.DesignProspective observational cohort study.SettingPediatric tertiary care hospital.MethodsMagnetic resonance imaging data were acquired from 150 children (aged 4-17) to identify anatomic predictors of VPI and surgical need. Fourteen velopharyngeal variables were measured in the oblique coronal and midsagittal imaging planes. Calculations included differences in levator veli palatini (LVP) muscle angles of origin, mean extravelar length, differences between left and right extravelar segments, the VP Needs ratio, and a newly developed LVP ratio. Multivariate logistic regression models with k-fold cross validation were utilized to identify anatomic profiles predictive of VPI and receiving a surgical recommendation.ResultsThe models demonstrated high accuracy, sensitivity, and specificity. Among anatomic variables, the LVP ratio emerged as the strongest determinant of surgical need (β = 11.256, <i>p </i>< .001). Notably, an increase in the LVP ratio of 0.10 is associated with a 3.08-fold increase in the likelihood of receiving a surgical recommendation. LVP ratios above 1.0 were significant for both VPI classification and surgical need.ConclusionsThe LVP ratio significantly differentiates individuals with VPI and is predictive of surgical need for VPI management. Inclusion of the LVP ratio into clinical evaluations may refine patient stratification, enabling more precise surgical decision-making tailored to individual anatomic variations.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"250-262"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Access to Care: Factors Influencing Patient Attendance at Craniofacial Speech Evaluations.","authors":"Camryn Heister, Katherine Dillon, Colin Brady, Magdalena Soldanska, Joseph K Williams, Kazlin Mason","doi":"10.1177/10556656241310203","DOIUrl":"10.1177/10556656241310203","url":null,"abstract":"<p><p><i>Objective</i>Evaluate predictors for attendance and adherence to speech evaluations and determine factors that influence longitudinal care for patients with cleft palate and craniofacial differences.<i>Design</i>Retrospective, observational cohort study.<i>Setting</i>Tertiary children's hospital.<i>Participants</i>Eight hundred and eighty newborns receiving care between 2014 and 2022 were included in the study sample for longitudinal assessment of appointment adherence. Participants were included if they had a cleft-related diagnosis, were scheduled for an initial speech evaluation between 1 and 3 years old, were scheduled for follow-up speech evaluations between 3 and 6 years old, and had demographic, diagnostic, and clinical data in their charts.<i>Main Outcome Measures:</i>Variables of interest included demographic data, diagnostic criteria, insurance data, distance to clinic, speech/resonance characteristics, hard/soft palate integrity, and surgical data. Chi-square analyses, independent sample <i>t</i>-tests, and descriptive statistics were conducted to identify characteristics of those who attended appointments and those who did not. Logistic regression analyses were conducted to examine factors predictive of appointment adherence over time.<i>Results</i>A total of 66.9% of patients attended the initial speech evaluation. A total of 50.6% of participants adhered to follow-up appointments. Distance to clinic (<i>P</i> = .018), insurance type (<i>P</i> < .001), and cleft type (<i>P</i> < .001) influenced initial speech evaluation attendance. For follow-up appointment adherence, cleft type (<i>P</i> < .001) was the strongest predictor pre-pandemic, while severity of velopharyngeal function (<i>P</i> = .037) strongly predicted adherence during the pandemic.<i>Conclusion</i>Appointment adherence is multifactorial and driven by geographic, demographic, and clinical variables. Identifying barriers to care may improve appointment adherence for those with speech/resonance needs and prevent patients from being lost to follow-up.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"201-213"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors That Limit Evaluation of Velopharyngeal Closure During Nasopharyngoscopy.","authors":"Taylor D Snodgrass, Thomas J Sitzman, Jessica L Chee-Williams, Hamy Temkit, Jamie L Perry","doi":"10.1177/10556656241304224","DOIUrl":"10.1177/10556656241304224","url":null,"abstract":"<p><p>ObjectiveTo assess the quality of nasopharyngoscopy video recordings used for velopharyngeal insufficiency (VPI) surgical planning and identify factors that limit evaluation of velopharyngeal closure.DesignProspective observational study.SettingMetropolitan-based hospitals with craniofacial clinics in the United States and Canada.ParticipantsOne-hundred and forty-two (142) patients with VPI across 10 hospitals.Assessment(s)Nasopharyngoscopy video recordings used for VPI surgical planning .Main Outcome Measure(s)Ratability of nasopharyngoscopy video recordings, with \"ratable\" defined as the video (1) visualized the velum, lateral pharyngeal wall, and posterior pharyngeal walls at some point during speech production and (2) contained an oral speech sample at the phrase level or above.ResultsOne-hundred and forty-two (142) nasopharyngoscopy video recordings were obtained from patients undergoing VPI evaluation, of which 59.9% (n=85) were ratable. A multilevel logistic regression model was used to identify factors that influenced the quality of nasopharyngoscopy video recordings. Factors associated with unratable nasopharyngoscopy videos were age (<i>P</i>=.030), sex (<i>P</i>=.005*), type of scope camera used (<i>P</i>=.039), presence of compensatory misarticulations (<i>P</i>=.008), and a limited speech sample (<i>P</i>=.040).ConclusionsA substantial proportion of nasopharyngoscopy video recordings obtained during VPI evaluation are not sufficient for rating velopharyngeal closure. Lack of ratability could impact the surgery selected to treat VPI. Younger patients, those with limited speech samples, or patients with extensive compensatory articulations may be more successful in completing other VPI imaging techniques, such as videofluoroscopy or magnetic resonance imaging.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"300-308"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Exploratory Analysis of Early Care Differences and Risk of Post-Maxillary Advancement VPI in Individuals With Cleft Palate.","authors":"Sara Kinter, Hitesh Kapadia, Srinivas Susarla","doi":"10.1177/10556656241304215","DOIUrl":"10.1177/10556656241304215","url":null,"abstract":"<p><p>ObjectiveTo investigate whether differences in early cleft care increase risk of velopharyngeal insufficiency (VPI) after maxillary advancement.DesignRetrospective cohort study.SettingLarge pediatric tertiary care hospital.Patients/ParticipantsAdolescents and young adults (AYAs) with cleft palate (∓cleft lip) who underwent maxillary advancement between 2008 and 2019.Interventions/ComparisonsInitial palate repair at a different institution (early care elsewhere, ECE) versus care at a single institution (consistent care, CC).Main Outcome MeasuresPost-maxillary advancement VPI.ResultsOne-hundred seventy-eight AYAs underwent maxillary advancement, 74 in the ECE group and 104 in the CC group. The ECE group was more likely to be internationally adopted (34% versus 4%), to have a history of VPI surgery (54% versus 32%) and to be older at time of palate repair (mean 25 versus 16 months). Of anatomical measures, only velar length differed, with the ECE group tending to have a shorter velum (mean 26 mm versus 28 mm). Proportional odds regression revealed increased odds of post-operative VPI in the ECE group (OR 1.46, 95% CI 0.75-2.85) relative to the CC group. This relationship was stronger among those with bilateral cleft lip and palate (OR 3.29, 95% CI 0.86-13.52). For patients with history of prior VPI surgery, the odds of post-operative VPI in the ECE group was more than 3 times that in the CC group (OR 3.06, 95% CI 1.08-9.16).ConclusionsVPI after maxillary advancement is more likely among individuals who received early cleft care elsewhere compared to those who underwent all cleft operations at a single center.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"223-233"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robin Sequence and Isolated Cleft Palate are Associated With a High Prevalence of Obstructive Sleep Apnea in School-Aged Children.","authors":"Fábio Luiz Banhara, Ivy Kiemle Trindade-Suedamm, Inge Elly Kiemle Trindade, Lais Mota Furtado Sena, Sergio Henrique Kiemle Trindade","doi":"10.1177/10556656251316409","DOIUrl":"https://doi.org/10.1177/10556656251316409","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the prevalence of obstructive sleep apnea (OSA) in children aged 6 to 12 years with nonsyndromic Robin sequence (NSRS) and in those with nonsyndromic cleft palate (NSCP). All patients presented complete cleft palate (Veau II).</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Tertiary public hospital.</p><p><strong>Patients: </strong>A total of 146 children divided into 2 groups: (1) NSRS (n = 69), (2) NSCP (n = 77).</p><p><strong>Interventions: </strong>(1) Anthropometric assessment, dentoskeletal, and facial analysis. (2) Clinical interview with \"Sleep Disturbance Scale for Children\" and \"Congestion Quantifier Five-Item\" (CQ5); and (3) 48 patients: Type IV polysomnography.</p><p><strong>Main outcome measures: </strong>Frequency of OSA in children with NSRS and NSCP, assessed by Type IV polysomnography.</p><p><strong>Results: </strong>Positive scores for OSA were found in 59.42% of children with NSRS and 46.75% of those with NSCP (<i>P</i> > .05). Excessive daytime sleepiness was observed in 23.19% of the NSRS group and 9.01% of the NSCP group (<i>P</i> > .05). Positive scores for nasal obstruction were noted in 14.49% with NSRS and 20.78% of those with NSCP (<i>P</i> > .05). In polysomnography IV subgroups, an Oxygen Desaturation Index compatible with mild to moderate OSA was observed in 89.65% of the NSRS group and 78,94% of the NSCP group (<i>P</i> > .05). Also, facial and pharyngeal alterations, such as Angle Class II malocclusion, Mallampati classifications III and IV, and deep crossbite, were associated with OSA.</p><p><strong>Conclusion: </strong>Both children with NSRS and NSCP have a high frequency of mild to moderate OSA, highlighting the need for systematic evaluation of the presence of sleep-disordered breathing in this population.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251316409"},"PeriodicalIF":1.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Health Determinants in Cleft Palate Patients.","authors":"Katherine E Baker, Anna G Boydstun, Mary E McMinn, Emily E Hecox, Shelley R Edwards, Savannah C Walker, Laura S Humphries, Ian C Hoppe","doi":"10.1177/10556656251316081","DOIUrl":"https://doi.org/10.1177/10556656251316081","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze health determinants affecting patients with cleft palate, specifically examining the relationships between the Social Vulnerability Index (SVI), failure to thrive (FTT), and healthcare utilization within the initial 30 days and first year of life.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on patients with a cleft palate at a tertiary care center over an 11-year period. Data included demographics, weight percentile trends, pediatric emergency department (PED) visits, hospital admissions, SVI scores, cleft palate type, and FTT diagnoses. Statistical analyses were performed using SPSS.</p><p><strong>Results: </strong>Social Vulnerability Index was not significantly correlated with health outcomes in cleft palate. Patients with FTT exhibited lower gestational age (<i>P</i> = .002) and birth (<i>P</i> = .005), one-month (<i>P</i> = .001), and one-year (<i>P</i> = .001) weight percentiles. FTT diagnosis was associated with increased PED visits (<i>P</i> = .000) and hospital admission (<i>P</i> = .000) in the first year of life. Early presentation to the PED was associated with increased PED visits (<i>P</i> = .000) and hospital admissions (<i>P</i> = .004) within the first year of life.</p><p><strong>Conclusion: </strong>No direct link was found between SVI and FTT. Early hospital readmission emerged as a significant outcome, indicating increased healthcare utilization in patients that require early medical intervention. Failure to thrive significantly impacted healthcare utilization, emphasizing the importance of addressing feeding issues early in this patient population. This study contributes to understanding health disparities in cleft palate patients and highlights the need for nuanced exploration of regional factors influencing outcomes.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251316081"},"PeriodicalIF":1.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}