Abstract

Cleft lip and palate are abnormalities that often occur in the head and neck, with 65%  incidence . The abnormalities are caused by the failure of unification of the segment on the fourth week of pregnancy. Malformation on the lips and palate  resulted in hard sucking and swallowing on the infant  so that malnutrition occurs early in the infant's life. The purpose of this research is to know the suction ability of  the infant with complete bilateral cleft lip and palate using feeding plate modification of Hotz-Kogo  and also to know the correlation of the increase of negative pressure with the volume of the fluid sucked.

The study was conducted on 9 newborns at Hasan Sadikin Hospital Bandung. infants use feeding plate with Hotz-Kogo modified design using hard and soft acrylic resin. Fabrication of feeding plate done in RSGM Unpad laboratory. Negative pressure measurements and infant suction volume were performed for 15 minutes. The first measurement is performed immediately after feeding plate insertion in infants. The second measurement is 7 to 12 days after insertion.

The results showed a decrease in the value of negative pressure and increased volume of suction in the second measurement. The statistical test using t test shows significant result, where p value <α (p = 0,000092; α = 0,05) for negative pressure and (p = 0,000042; α = 0,05) for suction volume. Pearson correlation analysis showed there was a correlation between negative pressure and suction volume with negative correlation of 47% or r = -0.68, which was statistically significant (p = 0.0005 <α = 0,05). Based on the results, it can be concluded that feeding plate modification of hotz-kogo can improve the suction capability of complete bilateral cleft lip and palate infants. Negative pressure has a relationship with the volume of suction with negative correlation.