They just seem neverending, don't they? ;)
Emily's surgery was this morning. The ENT put in ear tubes which went great. No complications and nothing unexpected.
The plastic surgeon for the cleft palate team also took a closer look at her palate while she was under anesthesia.
Unfortunately, the news there is not so good.
Normally when a child is born with a cleft palate, the tissue that would form the palate does not fuse together in the womb. The tissue is still present, and it is a
relatively simple surgery to sew the tissue together to close the palate after birth (obviously, depending on the situation it can be a more or less complicated surgery). In Emily's case, a palate repair was attempted in Ukraine and it failed. We don't have any more information than that, but as a result she has very little tissue left on her palate and most of what is remaining is scar tissue. The plastic surgeon was able to get some great pictures of her palate which he is going to send to a colleague for a second opinion on options for her, but he was not optimistic.
Our options pretty much stand
as they did before, with the added option of not fixing Emily's palate at all--and with the understanding that there is a decent chance that any surgical repair would fail again. In the surgeon's words, her speech will then remain "unintelligible" for the rest of her life. We are still waiting for an official opinion from the surgeon as to what option he thinks will work best for her, but we won't be having surgery again anytime soon as far as we can tell. We will go ahead and start speech with her at the end of this month to give her the best ability possible to communicate with what she has. In addition, we will continue teaching her sign language (which she loves and uses to "talk" to herself!) to give her as many avenues of communication as possible.
Good thing we all sign around here. Guess God had a good plan for putting her in a family with a former interpreter. ;)
The boys are heading to the dentist this afternoon. Any votes for whether or not someone will need dental surgery?? LOL