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Sat, 30 Jun 2007 12:51:48 -0400 |
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Lynn,
If you have a digital camera, try getting a photo of the hard/soft
palate junction, and examine it for notches, irregularities in the
smooth, semicircular junction, and translucent areas. (You can send me a
photo if you get one, I'd be happy to tell you if I see anything unusual).
The baby can be induced to gag with a cotton swab touched to the soft
palate, then you can snap the photo. The soft palate should move during
the gag.
If the soft palate is structurally normal, it still might not be
functionally normal. Does the baby ever lose milk through the nose? Does
his breathing start to sound harsh and wet as he feeds? These can be
signs of velopharyngeal insufficiency.
Catherine Watson Genna, IBCLC NYC
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