Abstract
AIM—To investigate the effect of gestation, postmenstrual age, and orotracheal intubation on palate morphology. METHODS—A prospective study was made of 76 newborn infants of 25 to 41 weeks' gestation. Palate dimensions were measured on plaster models produced from serial palatal impressions. Palate size relative to that of the mouth was assessed using a ratio of palate depth to palate width (Palatal Index). RESULTS—Palate depth and width were related to postmenstrual age and gestation. Palatal Index ranged from 0.15 to 0.57, indicating a wide variation in palate shape, but gestation and postmenstrual age had no effect. Prolonged intubation had a small effect, equivalent to an increase in palatal depth of less than 2 mm at 32 weeks' postmenstrual age. The effect was transient. CONCLUSION—Prolonged orotracheal intubation (>10 days) leads to a small and temporary increase in palatal depth. However, this is unlikely to account for palatal grooving, which is probably caused by an overgrowth of the lateral palatine ridges.
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- Abstracts of papers presented at the Neonatal Society Meeting. March 1990. Early Hum Dev. 1990 Jun;22(3):171–175. [PubMed] [Google Scholar]
- Ash S. P., Moss J. P. An investigation of the features of the pre-term infant palate and the effect of prolonged orotracheal intubation with and without protective appliances. Br J Orthod. 1987 Nov;14(4):253–261. doi: 10.1179/bjo.14.4.253. [DOI] [PubMed] [Google Scholar]
- Behrstock B., Ramos A., Kaufman N. Does prolonged oral intubation contribute to medical hypertrophy of the lateral palatine ridges and possibly to iatrogenic cleft palate? J Pediatr. 1977 Jul;91(1):171–171. doi: 10.1016/s0022-3476(77)80492-7. [DOI] [PubMed] [Google Scholar]
- Carrillo P. J. Palatal groove formation and oral endotracheal intubation. Am J Dis Child. 1985 Sep;139(9):859–860. doi: 10.1001/archpedi.1985.02140110013008. [DOI] [PubMed] [Google Scholar]
- Cartlidge P. H., Rutter N. Reduction of head flattening in preterm infants. Arch Dis Child. 1988 Jul;63(7 Spec No):755–757. doi: 10.1136/adc.63.7_spec_no.755. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Davis P. M., Robinson R., Harris L., Cartlidge P. H. Persistent mild hip deformation in preterm infants. Arch Dis Child. 1993 Nov;69(5):597–598. doi: 10.1136/adc.69.5.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Duke P. M., Coulson J. D., Santos J. I., Johnson J. D. Cleft palate associated with prolonged orotracheal intubation in infancy. J Pediatr. 1976 Dec;89(6):990–991. doi: 10.1016/s0022-3476(76)80618-x. [DOI] [PubMed] [Google Scholar]
- Erenberg A., Nowak A. J. Palatal groove formation in neonates and infants with orotracheal tubes. Am J Dis Child. 1984 Oct;138(10):974–975. doi: 10.1001/archpedi.1984.02140480076023. [DOI] [PubMed] [Google Scholar]
- Fadavi S., Punwani I. C., Adeni S., Vidyasagar D. Eruption pattern in the primary dentition of premature low-birth-weight children. ASDC J Dent Child. 1992 Mar-Apr;59(2):120–122. [PubMed] [Google Scholar]
- Hanson J. W., Smith D. W., Cohen M. M., Jr Prominent lateral palatine ridges: developmental and clinical relevance. J Pediatr. 1976 Jul;89(1):54–58. doi: 10.1016/s0022-3476(76)80926-2. [DOI] [PubMed] [Google Scholar]
- Lacey J. L., Henderson-Smart D. J., Edwards D. A. A longitudinal study of early leg postures of preterm infants. Dev Med Child Neurol. 1990 Feb;32(2):151–163. doi: 10.1111/j.1469-8749.1990.tb16914.x. [DOI] [PubMed] [Google Scholar]
- Molteni R. A., Bumstead D. H. Development and severity of palatal grooves in orally intubated newborns. Effect of 'soft' endotracheal tubes. Am J Dis Child. 1986 Apr;140(4):357–359. doi: 10.1001/archpedi.1986.02140180091032. [DOI] [PubMed] [Google Scholar]
- Rutter N., Hinchliffe W., Cartlidge P. H. Do preterm infants always have flattened heads? Arch Dis Child. 1993 May;68(5 Spec No):606–607. doi: 10.1136/adc.68.5_spec_no.606. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Saunders B. S., Easa D., Slaughter R. J. Acquired palatal groove in neonates. A report of two cases. J Pediatr. 1976 Dec;89(6):988–989. doi: 10.1016/s0022-3476(76)80617-8. [DOI] [PubMed] [Google Scholar]
- Viscardi R. M., Romberg E., Abrams R. G. Delayed primary tooth eruption in premature infants: relationship to neonatal factors. Pediatr Dent. 1994 Jan-Feb;16(1):23–28. [PubMed] [Google Scholar]
- Warwick-Brown M. M. Neonatal palatal deformity following oral intubation. Br Dent J. 1987 Apr 11;162(7):258–259. doi: 10.1038/sj.bdj.4806097. [DOI] [PubMed] [Google Scholar]