Doctor insights on:
Why Is It Difficult To Feed A Baby With A Cleft Palate
Special bottles: Babies with cleft palate, with or without cleft lip, have a difficult time generated a good, long suck because of the hole in the roof of the mouth. They swallow fine, it is just difficult to get the milk into their mouth. There are 3 major brands of cleft bottles that allow squeezing of the bottle to get the milk into the baby's mouth so they don't become exhausted trying to suck. ...Read moreSee 2 more doctor answers
With help: It can be difficult to nurse a baby with a cranio-facial problem like cleft palate. You'll want to work with both your cranial-facial team and a lactation consultant for specific-advice, and monitor baby's growth and intake. You may need to pump and feed at least some milk via bottle or other system to ensure baby gets enough, but that isn't always necessary. ...Read moreSee 2 more doctor answers
How much pain will a palate expander cause? The orthodontist has said that our daughter is going to need to use a palate expander before she gets braces. To me, this sounds like something that might be really painful. Can we expect her to feel a lot of pa
No real discomfort!: A palatial expander sounds worse than it is, but is a simple appliance that can greatly reduce the overall time a child is in orthodontic therapy and simplify the final course of treatment. A parent's role is to help their understand the importance of this treatment and help them follow through! in fact, often times a palatial expander negates the need to extract adult teeth in the overall plan. ...Read moreSee 6 more doctor answers
Rare: It is extremely rare in full term births, but it can happen if the baby has respiratory distress. In certain premature births it can happen routinely. Overall, though, it is not common. ...Read more
At what age is a frenectomy performed for a “tongue tied” baby? If a baby is born “tongue tied, ” how early is a frenectomy performed to correct the problem?
Can be done at birth: If there are feeding issues it can be done at birth. Pediatric ents are often comfortable doing this if pediatricians aren't. I do them all the time for this reason in clinic. If there aren't symptoms, it's your choice to do it or wait and see if other issues develop such as speech problems, issues with brushing teeth or licking an ice cream cone. See http://lowmilksupply.Org/tonguetie.Shtml. ...Read moreSee 3 more doctor answers
0.8%: Overall the incidence of congenital heart disease is about 8 per 1000 live births. The risk is higher when one of the parents has a congenital heart defect. The risk also increases for subsequent children once a couple has had a child with heart disease. It is also higher in association with certain exposures and syndromes. ...Read moreSee 2 more doctor answers
How old does a child have to be in order to have cleft lip and palate corrective surgery? I'm hoping that the answer is sooner rather than later, given how this appearance will affect how a child is perceived by their peers.
Cleft : Cleft lip and/or palate is one of the most common birth defects in america, affecting about 1 in 800 children. This condition is characterized by a minor or significant separation of the upper lip and/or roof of the mouth. The surgery performed to correct this condition is called a palatoplasty. Most plastic surgeons recommend a palatoplast be performed between 6 months to 18 months and the decision to perform this surgery is based on the extent of the birth defect, the child's age, speech development, facial growth and risk. While many parents wish for the surgery to occur earlier, most sugeries occur around 10-12 months of age. This age is ideal due to healing times at this age. Also, the area around the affected facial are hasn't had much time to grow, which can help speed up the recovery time. Children at this age may also not recall the surgery later in life. At this age, speech development is still in its infancy. It has been found that children who undergo this procedure after the age of three are prone to having speech development issues. There is always risk involved with any surgery. Work with your doctor to determine the best path for your child and his/her surgery to determine best timing for this procedure. ...Read moreSee 1 more doctor answer
Bf born with cleft lip and cleft pallet and has a narrowed esophagus because of it. When he eats food gets stuck. What is the best way to get it out?
GI evaluation: You mention that your boy friend had several defects that were likely operated on at birth. If he does have an issue with swallowing, he needs to be seen by a GI specialist. There are possibly some swallowing coordination defects or a stricture that would benefit from endoscopy to assess the issue and stretching if a narrowing is bad enough. ...Read moreSee 1 more doctor answer
No: Actually the only question is whether there is enough vitamin d in everyone's breast milk. To be safe, it is recommended that breast fed babies be given a vitamin d supplement which can be given alone or as part of a multivitamin. The other vitamins in the multivitamins are not currently seen to be necessary. ...Read moreSee 2 more doctor answers
Cleft lip and palate: Cleft lip and palate result from an interruption in development of the face during early gestation. The development of the lip typically occurs between weeks 5-7 and the palate between weeks 8-12 of gestation. These can be detected with prenatal ultrasound. ...Read moreSee 1 more doctor answer
Is 20 mcg/kg of IV Propofol enough for a 1 y/o baby on a cleft palate repair? Could he experience awareness?
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