Knowledge is power. 
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Otolaryngology
An Otolaryngologist treating a patient with a facialdeformity.
Sean: Hello again to all my friends. It’s time for us to begin our next installment of Hanson’s weekly oral English lecture, sponsored by MedEditing.
D: Hi Mrs Morrison, please have a seat. There is something that I need to discuss with you. During today's antenatal screening we have discovered what seems to be signs of a cleft lip forming. We will need to run a test for further diagnosis. I know this is news no parent wants to hear during pregnancy but please do not worry, this is a condition which we have vast experience in treating.
P: So, a cleft lip means that the lip is not fully growing, is that correct?
D: Yes, we have two types, one is anincomplete cleftand the other is a complete cleft. We have experienced surgeons who can deal with both excellently.
P: Despite what you have told me, I am happy to hear that the surgical procedures should be easier. What do we do now then?
D: Now you will beconsultedby a multi-disciplinary treatment team. They will talk you through everything that you need to know. They will be with you every step of the wayto ensure that your baby receives the best treatment available.
P: If all goes well with the surgery, when will we be able to take our baby home?
D: For a cleft lip, patients can go home within a day or two of surgery. Most babies recover very quickly after their operations and will not experience much pain in the days that follow, although medication is given for any discomforts your baby may experience.
Patients with repaired cleft lips will need to return to hospital to have their stitches removed a few days after surgery, we will inform you of this after the surgery has taken place.
P: Okay, and what about in the future? Do we need to continue to visit you to do check ups?
D: Once they have been operated on, patients can expect follow-up appointments until the age of 20. In some cases, patients may experience problems with facial development. Failure of the jaw to grow forward normally, for instance, can lead to an inward bite and a face that appears slightly flat. This may require corrective facial surgery, known asmaxillary osteotomy and is carried out after the age of 17. The appearance of the nose can also be affected, requiring some patients to have cosmetic nose surgery, orrhinoplasty, to set this right. I hope that your baby will not experience any further deformities based on our findings today, but we will be prepared for any outcome.
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