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Cleft Lip and Palate Clinic | Otolaryngologists: Binoy Chandy, MD and Tara Rosenberg, MD The Cleft Lip and Palate Clinic at Texas Children’s Hospital specializes in the comprehensive care of patients born with cleft lip and palate. Cleft lip and palate is a congenital anomaly that occurs when a baby’s upper lip and/or palate do not fuse during pregnancy. A baby can have an isolated cleft lip, an isolated cleft palate, or a combination of the two. The main issues developed by children with cleft lip and palate involve feeding difficulties, speech development, oral hygiene, dental problems and social interaction. The multidisciplinary cleft team at Texas Children’s has over 40 years of experience treating these particular issues. Each patient’s condition is unique and care is tailored to his specific needs. All of our specialists are trained in the care of cleft lip and palate patients. Cochlear Implants | Otolaryngologists: Yi-Chun Carol Liu, MD, Matthew Sitton, MD, Ronald Vilela, MD and Robert Williamson, MD Texas Children’s Hospital offers comprehensive services to evaluate and implant children with cochlear implant devices. Cochlear implantation is one of the most innovative treatment options available for a child with profound deafness or hearing loss. To become a candidate for cochlear implantation, a child is assessed by a team of specialists including audiologists and otolarngologists. Tests include high resolution scans to examine the structure of the ear, extensive hearing evaluations, and evaluation by a variety of other specialists such as a psychologist, geneticist, speech-language pathologist and surgeon. If the evaluation suggests cochlear implantation surgery is the appropriate treatment for a child, the center’s specialists handle the surgery and the activation of the cochlear implant device as well as supervise a thorough follow-up program of support for the child and family. The program provides guidelines and support for teachers and other educational personnel who work with the child on a regular basis. Down Syndrome Airway Center | Otolaryngologists: Mary Frances Musso, DO The Down Syndrome Airway Center at Texas Children’s Hospital provides a comprehensive, multidisciplinary approach to caring for children with complex obstructive sleep apnea. We have specific expertise in treating obstructive sleep apnea in children with craniofacial abnormalities and Down Syndrome. Anatomically, these patients are predisposed to airway obstruction and obstruction during sleep. Most children with Down Syndrome will develop sleep apnea by 9-11 years of age, with 60% developing sleep apnea by age three. Longterm consequences of not treating a child’s sleep disordered breathing include pulmonary hypertension, behavior problems, cognitive delays and developmental delays. Greater than 50% of children with Down Syndrome are at risk of having persistent sleep obstruction after having their tonsils and adenoids taken out. This multidisciplinary clinic currently meets monthly and includes otolaryngologists, pulmonologists and a nutritionist. We work closely with the sleep pulmonologist and behavioral pediatricians. The specialists collaborate in a single location to provide comprehensive care for each child, we review each child’s case and develop and discuss a detailed care plan.
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