Conall's First 4 Months
This provides a synopsis of Conall's first 4 months.
Conall's cleft was treated with a Nasal Alveolar Molding device (NAM) for the months before surgery. Each week for 4 months, we traveled 4 hours by car from Ottawa to The Hospital For Sick Children (Sick Kids) in Toronto for Conall's care.
November 13, 2002 - Sick Kids Toronto. Conall's orthodontist, Dr. Bruno Vendittelli, took an impression of Conall's mouth in order to fit him with a plate which would begin the process of bringing the parts of his lip/palate together. This relatively new technique was started at NYU Medical Center; Dr. Vendittelli studied with the team there. We headed back to Toronto November 20th to have the plate inserted. We would return to Toronto every 2 weeks to have the plate re-fitted.
November 14, 2002 - Sick Kids Toronto. Dr. David Fisher, Conall's plastic surgeon, met us for the first time. He expected Conall to wear his mouth plate for approximately 4 months before he would be ready for his first surgery (lip repair).
November 20, 2002 - Sick Kids Toronto. Conall's orthodontist fit his new plate into his mouth. Conall slept through the entire fitting and only woke when he got hungry near the end. The plate is held in place by elastics and tape on his cheeks. These tapes also provided the resistance to create movement in his mouth. Dr. Vendittelli expected to create a 4mm space where there was currently 10mm.Conall back at home after getting his new mouth plate. He doesn't like the feeling and has been fussing quite a bit - his doctor expects this to only last a few days to a week at which point Conall should be quite used to it.
Conall kept knocking his plate out of his mouth so he wore restraints some of the day. We couldn't afford to lose the progress he'd made. These are the same restraints he used for the weeks after his surgery. Poor guy!
January 3, 2003 - Toronto. Dr. Vendittelli saw Conall in his private office. Conall had "graduated" to one visit every two weeks until surgery (February 26). The plate & nose extension had done great work and now we just had to maintain the shape until the plastic surgeon did his work.