چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| Failure to thrive (FTT) is relatively common among cleft patients, most common attributed to feeding problems during the 1st month of life. The close association between midline clefts and pituitary gland abnormalities prompted us to determine the frequency of growth hormone deficiency (GHD) in cleft patients, which is a preventable cause of FTT and easily treated. Any cleft patient with FTT was studied in a cross-sectional study and when the patient’s height was under the 3rd percentile of normal, growth hormone was checked after clonidine administration. Growth hormone was checked before and 30, 60, and 90 minutes after clonidine use. Of 670 patients with cleft lip or palate, 31 patients (4.0%) had some kind of growth retardation according to weight, height, or head circumstance. 18 patients were under the 3rd percentile of normal height. GHD was detected in 8 patients out of 18 patients and overall frequency of GHD among cleft patients with growth retardation was 25.8% (8 out of 31). 7 patients of 8 were male, whereas one was female and half of the patients were syndromic. Cleft patients have many problems with normal feeding, and all kind of support should be provided to achieve near-normal feeding and they should be monitored for normal growth. Any patient with growth retardation, especially height decrease, should be assessed for growth hormone deficiency. |
| نویسنده | نفر چندم مقاله |
|---|---|
| شهین عبدالهی فخیم | اول |
| سیامک شیوا | سوم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| 4.pdf | 1398/04/25 | 537039 | دانلود |
