Doctor insights on:
I have: During residency i performed the traditional uppp (one size fits all belief). Since I have graduated from residency, I have been performing "customized" modifications of the uppp in conjunction w/ "multi-level surgery." i believe the traditional uppp is not always appropriate for every patient and that sleep apnea surgery should be customized for each patient. What questions do you have? ...Read more
ENT: Typically does this, although some oral surgeons also do this procedure. ...Read more
How would ancient greeks have dealt with sleep apnea disorder or low testosterone? Was there anything they could do?
Natural remedies: They could have stayed in good shape with exercise; had plenty of vit d from the sun; ate more olives, nuts, eggs, meats, and healthy fats; and avoided simple sugars. I imagine they could have fashioned some dental appliances to jut the lower jaw forward in order to open up the airway some while sleeping. Palatoplasty surgeries could also have been used as a last resort, just like now... ...Read moreSee 1 more doctor answer
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