Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.

Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.

The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.

The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.

Some of the risks involved during the process include:
1. Abnormal reactions to the medications
2. Bleeding
3. Problems in breathing
4. Need for more surgery
5. Infection

Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained.

How to Surgically Treat Cleft Palate

Uterine fibroids, also known as leiomyomata, are non-cancerous growths which develop in and around the uterus or the womb and form benign tumors in course of time. Though there are several types of uterine fibroids, they are all consistently similar in their genetic makeup. They are generally classified depending on their specific locations:

Myometrial or intramural fibroids
Submucosal fibroids
Subserosal fibroids
Pedunculated fibroids
Signs and symptoms

In most cases, uterine fibroids display little or no symptoms at all. Therefore many women are caught unawares and do not realize whether they have leiomyomata or not. When symptoms do show, however, they may include any one of the following:

1. Prolonged menstrual periods, usually for seven days or even longer
2. Bloating belly or pelvis
3. Intensive bleeding during periods
4. Pain during sexual intercourse
5. Constipation

Treatment

Since uterine fibroids do not cause any significant complications, they normally do not require much treatment. The condition, however, can be treated through either one of the following approaches:

1. Non-surgical approach

(1) Alert and careful inspection as well as watchful anticipation of the growth and development of uterine fibroids
(2) Birth control pills or oral contraceptives which help reduce heavy periods caused by uterine fibroids
(3) Pain relievers to help numb the pain
(4) Intrauterine device along with levonorgestrel to help reduce heavy periods
(5) Iron tablets are helpful in substituting the blood loss caused by heavy menstruation

2.Surgical approach

i) Myomectomy

ii) Hysterectomy

These two procedures can be performed using several techniques like:

Laparoscopy
Open abdominal surgery
Robot-assisted laparoscopy
Vaginal approach
Hysteroscope approach
iii) Uterine artery embolization (UAE)

Uterine Fibroids - Surgical & Non Surgical Treatment!

A cochlear implant is an electronic device that is used to restore hearing ability in people who suffer from hearing loss due to inner ear damage. Unlike hearing aids which amplify sounds so people with hearing loss are better able to perceive them, cochlear implants directly transmit electronic sound signals to the auditory nerve. They work by compensating for damaged cochlea, the part of inner ear that converts sound waves into neural impulses which are perceived by the brain. 

A child who cannot hear will also never be able to speak. 
Inability to hear and speak puts a person at disadvantage in society. 
Simple tasks like talking on the phone which we take for granted become impossible. 
Conventional methods of learning like attending a classroom lecture become impossible. 
Brain development and intelligence is closely linked to development of speech and language. 
Inability of parents to communicate with child leads to emotional distancing. 
Integrating a hearing disabled person in to society becomes a frustrating experience for all involved. 
Cost of integration per capita in much higher when compared to cost of Cochlear Implant. 
Children with Cochlear Implants are fully integrated in society with normal hearing & speech. 
Children with Cochlear Implants can attend regular schools & colleges 
Early identification of hearing impairment gives children a better chance of developing speech and language skills, and of making the most of social and emotional interaction from an early age. 
Cochlear implants offer a multitude of benefits to people experiencing hearing loss, especially infants and children with severe hearing loss who are just starting to process language and speech. Some of these benefits are: 

Hearing and communication   Cochlear implants improve hearing significantly, especially to a level where normal communication can be restored. It enhances the person s ability to hear speech without relying on visual cues such as lip reading or hand signs. It makes telephonic conversation a lot easier. Cochlear implants also help people regulate their own voice and volume so that it is easier for others to understand them. 
Quality of life - It can help people with hearing loss listen to and enjoy music and also watch television with sounds. It helps people listen to sounds in a noisy environment and differentiate soft sounds from loud ones. 
Safety   Cochlear implants enhance the individual s safety as it allows the person to be able to hear warning sounds like honking cars or ambulance sirens. This will allow people to navigate public spaces in a much safer way. 
Society - For children with hearing loss, cochlear implants can help them adjust a lot better to regular schools instead of requiring special institutions. 
Brain development - It can help infants with cochlear damage develop their speech recognition and speaking skills much faster. 
Cochlear implants 

Only device of its kind that can restore a special sense.
Consists of 2 parts-
One part is surgically implanted in the body 
Second part is worn behind the ear and communicates with internal part using wireless signals 
Persons of any age can get a cochlear implant, from less than one year old children to 90 year old persons have received implants all around the world. 
Cochlear implants can be done for partial hearing loss also, know as Hybrid implant that preserves the residual natural hearing and augments hearing only in certain sound frequencies in which hearing loss is present. 
Are being used for indications other than hearing loss also like Tinnitus. 
Surgery is a day care procedure for most patients. 
Consult a doctor to get a clear assessment of whether you would be an eligible candidate for a cochlear implant and what to expect from the procedure.

Cochlear Implant - The Many Benefits Of It

Infantile spasm is a seizure-related disorder that is witnessed among infants and young children. The average age for getting affected with infantile spasm is four months, but some kids might experience this disorder within a month of the birth. This disease can have a subtle appearance, and as such it is difficult to recognize as a serious condition. While a full seizure in an adult is scary, the one observed among infants can be as little as a minor head drop, along with minor body shakes. This might appear to be that serious, but infantile spasm is more serious as compared to a full body convulsion in adults. Unfortunately, an infant suffering from infantile spasm is at great risk of developmental disability, if the condition is not detected and treated early.

Anticonvulsant Medication:
There are very few medicines that are approved by the FDA for treating infantile spasms. The two medicines that are widely used by doctors include Adrenocorticotropic hormone (ACTH) and Vigabatrin.

ACTH: This is the oldest approved medicine by the FDA that was first discovered in the year 1958. This injection needs to be pushed twice in a day. Children tend to gain weight and feel hungry when this injection is injected.
Vigabatrin: Vigabatrin is very well tolerated by young kids and has a successful track record of treating infantile spasms. Studies have proven that Vigabatrin can tackle tuberous sclerosis and plays an important role in improving developmental outcome.
Second line therapies:

Pyridoxine: Dependency on Pyridoxine as a cause of infantile spasm is very rare. High dosage of oral administration of pyridoxine has fetched good results for patients, who do not suffer from pyridoxine related seizures.
Valproic acid: Valproic acid has the best anecdotal rate of success. However, doctors do not recommend this medicine for kids less than 2 years of age because of possible complications.
Clonazepam: This is one of the earliest non-steroid medicine for the treatment of infantile spasm. Some of the popular medicines used are nitrazepam, benzodiazepines, and clonazepam.
Ketogenic Diet: This is a decade old practice that has come back to popularity again. Studies have shown that ketogenic diet can help 20-35 % patients of infantile spasm to keep the condition under control.
IVIG: High dosage of IVIG has been reported to be very helpful in tackling infantile spasms. The dosage ranges from 100-200 mg/kg/dose ranging for about 2-3 weeks at stretch.
Surgery: The final part of the therapy includes a surgery that removes the abnormal part of the brain. It should only be considered for patients who have not responded to therapies including Vigabatrin and ACTH. It should also be investigated whether the patient has any structural abnormalities of the brain.


Infantile Spasms - How They Can Be Treated?

Swelling of the conjunctiva membrane due to an infection is called conjunctivitis. It can affect one or both eyes. The blood vessels get inflamed and the eye looks red or pink. Pink eye is the common name of conjunctivitis.

Symptoms

The symptoms of conjunctivitis are very obvious:

The white part of the affected eye appears reddish because the membrane which is affected is a layer that covers the white.

The affected eye is extremely itchy.

The eyelids get swollen.

It is painful, especially when the surroundings are bright.

A crusty layer may or may not form during sleeping and it can make it difficult to open the eye.

The infection typically affects one eye first and catches on to the other eye within a day because it is highly contagious. People in contact with the affected person are highly susceptible to contracting the infection.

Causes

This highly contagious infection is painful and itchy and needs immediate attention. The treatment is the same no matter what the cause. The main causes are:

Bacterial infection (indicated by sticky secretion).

Viral infection (indicated by a watery secretion).

In infants, it can be the cause of a partially opened tear duct.

Sometimes it happens due to an allergic reaction.

A Chemical reaction.

Immediate Action

Before going to a doctor and getting medicines, some immediate steps must be taken. Here are some things to do to reduce the discomfort and prevent the infection from spreading.

Contact lenses must be removed to prevent further infection. Infected contact lenses must be discarded or disinfected.

Contact with other people must be avoided. Direct physical contact, using the same towel or eye products must be avoided.

Avoiding touching the unaffected eye, it might prevent infection of the second eye.

Using a lukewarm compress can relieve some of the pain.

Using an over-the-counter hydrating eye drop can relieve some of the itchiness and the annoying sensation of having something in the eye.

Treating Conjunctivitis in Ayurvedic Way

Antibiotics have a lot of side effects and it does not sit well with some people. This is why a more natural approach is recommended. Ayurveda helps treat all the symptoms with zero side effects. Ayurvedic treatment is effective because it has everything needed:

Anti-inflammatory properties.

Antioxidants.

Antibacterial properties.

Ayurvedic treatment always works for conjunctivitis and does not cause any side effects. It is best to prevent getting infected altogether though. Using fresh sheets, fresh towels, disinfected eyewear and avoiding touching the eyes before disinfecting the hands can help.

Take Away

Conjunctivitis is one irritating eye infection which is contagious in its nature. However, it can be cured with proper care and ayurvedic treatment. It is always advisable to consult an ayurvedic specialist before going for any of the ayurvedic treatment.



Conjunctivitis - How Can Ayurveda Help?

How to Dry Baby's Hair?
Baby towels often have a hood attached to it that can be used to gently blot your baby's hair. Do not rub as the baby's hairs are fine and very delicate and vulnerable to damage. Also, never try to blow-dry a baby's hair, as babies' skin is very much sensitive than an adult's skin and can be very easily burnt. Their hair also dries very fast on its own.
How to Comb Baby's Hair?
Comb your baby's hair with a soft-bristle brush or a tooth brush that won't snag on tangles or pull your baby's hair. Avoid headbands or ponytails, as they pull your baby's hair back too tight, which can damage hairs.
Cradle Cap-Should I worry?
Cradle cap refers to the fleshy, red flakes on the scalp of baby. This is not harmful but some may be bothered by it.  Before a bath, massage  a little bit of coconut oil  into your baby's scalp to loosen the dry skin. Gently rub the oil into your baby's scalp with a ultra soft brush or wash cloth to release the flakes. Always wash your baby's hair with a gentle baby shampoo. Cradle cap should get better on its own. If it sticks around or spreads to the face of baby, or neck or other parts of the body, you should see your doctor.
What Oil should I Apply on My Baby's Hair?
Many new parents try to apply baby oil in the newborns scalp under the impression that it will lead to hair growth. This is a biggest misconception. Baby oil actually causes dryness of the scalp and clogs the pores of the head. Often the cause of cradle cap in babies is the usage of the baby oil. For healthy hair growth it would suffice coconut oil is applied onto your infant's hair and scalp.
When should I Plan the First Haircut?
There is no particular set time for a first haircut as it will not harm hair growth of the baby. Whenever you feel your child needs a trim, you should go ahead and get it done.
Why my Baby has Bald Spots? What Should I Do?
Sometimes babies have bald spots on their head because children lie in the supine position most of the time. Encourage the "tummy time" when your baby is awake, to allow their head to round out and prevent bald patches.

How to Dry and Comb Your Baby's Hair?

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