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Palatal Grooves in Orally Intubated Newborns

Palatal Grooves in Orally Intubated Newborns Abstract Str.—In a recent issue, Molteni and Bumstead1 compared "hard" and "soft" oral endotracheal tubes with respect to their effect on the subsequent development of a "palatal groove" in intubated newborns. I was surprised by this study because several years ago I was taught that palatal grooves in this setting are really pseudo–palatal grooves. In most newborns, the grooves represent thickening of the alveolar ridge because of restriction of tongue movement due to the presence of the oral foreign body, ie, the endotracheal tube. Broadening of the alveolar ridges then creates the false impression that the palate has been eroded by a "groove"; in fact, the palate is intact but partially obscured. The photograph presented in the article shows an infant whose oral anatomy would appear to include a broadly widened secondary alveolar ridge and a normal-appearing midline palate. This would seem to support the conceptual construct that these References 1. Molteni RA, Bumstead DH: Development and severity of palatal grooves in orally intubated newborns: Effect of 'soft' endotracheal tubes . AJDC 1986;140:357-359. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Palatal Grooves in Orally Intubated Newborns

Palatal Grooves in Orally Intubated Newborns

Abstract

Abstract Str.—In a recent issue, Molteni and Bumstead1 compared "hard" and "soft" oral endotracheal tubes with respect to their effect on the subsequent development of a "palatal groove" in intubated newborns. I was surprised by this study because several years ago I was taught that palatal grooves in this setting are really pseudo–palatal grooves. In most newborns, the grooves represent thickening of the alveolar ridge because of restriction of...
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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1986.02140250023017
Publisher site
See Article on Publisher Site

Abstract

Abstract Str.—In a recent issue, Molteni and Bumstead1 compared "hard" and "soft" oral endotracheal tubes with respect to their effect on the subsequent development of a "palatal groove" in intubated newborns. I was surprised by this study because several years ago I was taught that palatal grooves in this setting are really pseudo–palatal grooves. In most newborns, the grooves represent thickening of the alveolar ridge because of restriction of tongue movement due to the presence of the oral foreign body, ie, the endotracheal tube. Broadening of the alveolar ridges then creates the false impression that the palate has been eroded by a "groove"; in fact, the palate is intact but partially obscured. The photograph presented in the article shows an infant whose oral anatomy would appear to include a broadly widened secondary alveolar ridge and a normal-appearing midline palate. This would seem to support the conceptual construct that these References 1. Molteni RA, Bumstead DH: Development and severity of palatal grooves in orally intubated newborns: Effect of 'soft' endotracheal tubes . AJDC 1986;140:357-359.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Nov 1, 1986

References