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March 7, 2013

Welcome to cleft care!

A passion for cleft care is an official blog of UK HealthCare and the Kentucky Children’s Hospital. As a pediatric plastic surgeon who specializes in craniofacial care, the subject of cleft care is close to my heart. It’s also important for patients and their families. This blog is meant to be a guide and a […]

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July 14, 2014

Favorite Surgery?

I often get the question, what surgery is your favorite?  That is like asking, what is your most favorite book or movie.  Better yet, if you were stuck on a desert island, which would be your only food.  Although as adults, we kinda write off these questions as being silly, but the 1st question is […]

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November 19, 2013

Thoughts from the American Society of Plastic Surgeons annual meeting

I attended the American Society of Plastic Surgeons annual meeting this October and had a very interesting time discussing clefts with other plastic and reconstructive surgeons dedicated to cleft care. During this meeting, several thoughts popped into my head: It is a small group nationally, but one that is passionate about and dedicated to cleft […]

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September 25, 2013

Talking about touch-ups

Although we’d like to only have to do one surgery on the lip and palate, realistically most kids will need a “touch up” or revision. Usually this happens between 3 and 6 years of age when children become more socialized from day care or school. This also is when kids become more self-aware and notice […]

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September 13, 2013

Comment from a grateful parent

I will never forget the day doctors at UK told me that my baby had a cleft lip and possibly a cleft palate as well, I proceeded into the restroom to dress after the ultrasound and I dropped to my knees in that very restroom and asked GOD to just lay his hand on my baby and help […]

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August 9, 2013

Comment from a grateful parent

My daughter, Emma, was born with bilateral cleft lip and palate. When we first received the news we were very worried and scared because we didn’t know what we were dealing with. No one in our families were ever born with this, so we had no idea of what to expect. Thankfully, we were sent […]

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June 10, 2013

Reader question about the NAM device

Joyce K. asks, “Does your team use the NAM device pre-surgery?” Answer Nasoalveolar molding (NAM) is a technique to help mold the nose and alveolar segments in a child prior to cleft lip repair. This can be helpful with wider clefts. My experience with them in my year of fellowship training have generally been positive, […]

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April 29, 2013

From the beginning

Having a child with a cleft lip and/or palate is stressful and can detract from the joy of bringing a child into the world. Fortunately prenatal screening can usually see cleft lips and cleft palates. Although we cannot catch them all, depending on how the child is laying in the belly, we usually have a […]

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The Commission for Children with Special Healthcare Needs clinic

March 25, 2013

How does cleft care work in Kentucky?

So how does cleft care work in Kentucky? Right now, cleft care is located in two different geographical places: Louisville and Lexington. But because Cincinnati is on the border, many Kentuckians get cleft there as well. Advantages to staying in Kentucky However, there is an advantage for families that stay in Kentucky for cleft care. The […]

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Children of the Americas clinic "waiting room"

March 14, 2013

Medical mission trips

When we see cleft in popular media and hear about it in daily conversation, it is usually focused on developing nations and how we can help provide care to those who have none. Along those lines, I’d like to provide a little information about the mission trips both Henry Vasconez, MD, and I do since […]

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