Tallis,
Are you sure that it's the epiglottis that is missing, and not the 
uvula? A baby missing an epiglottis is vulnerable to aspiration, and I'd 
rather see her using a Haberman feeder than a cup.

If the uvula is missing and there are only 2 buds, this could mean that 
there is a bifid, underdeveloped uvula, which is usually associated with 
a submucous cleft palate. The clicking could be due to the cleft. Is 
there any nasal regurgitation of milk? Any feeding induced apnea?

The nipple injury sounds very severe, and sounds like it could be caused 
by a strong tongue thrust. this is a very abnormal movement. This baby 
needs a good workup, at least genetics, neurology, and feeding. Thrush 
makes tissue weaker ("friable") and can increase the  potential for 
damage when there is trauma from the baby's tongue or jaw.
Catherine Watson Genna, IBCLC  NYC

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html