Megan relates a case history of an infant with Pierre Robin sequence who
continued to sound stuffy after palate repair.

With a retroplaced tongue and a compromised airway, this infant may not
be swallowing properly, and milk may still be getting into his airway.
(Even after treatment, the airway remains narrow and the tongue
retroplaced...)  Or if the cleft extended into the soft palate, it might
not be functioning properly after repair.  It is complicated to repair
the muscles of the soft palate and get perfect function, and not always
possible.  So milk might be getting into the airway that way.

Repairs have improved over the years, but there's nothing like getting
it right the first time.
Catherine Watson Genna, BS, IBCLC  NYC

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