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Facial Plastic and Reconstructive Surgery

Managing a Newborn With Cleft/Craniofacial Anomaly: Tips for General Otolaryngologists

Tuesday, October 3, 2023
4:45 PM - 5:45 PM East Coast USA Time
Location: 205ABC

    Moderator(s)

  • BR

    Brianne B. Roby, MD

    Associate Professor
    Children's Hospitals and Clinics of Minnesota
    St. Paul, MN, United States

    • Panelist(s)

  • AS

    Andrew R. Scott, MD

    Medical Director, Cleft Lip and Palate Team; Pediatric Otolaryngologist
    Department of Otolaryngology, Tufts Medical Center
    Boston, Massachusetts, United States

  • Krishna G. Patel, MD, PhD

    Professor, Director of Facial Plastic and Reconstructive Surgery
    Medical University of South Carolina
    Charleston, SC, United States

  • Jamie L. Funamura, MD, MPH

    Associate Professor
    University of California Davis
    Sacramento, CA, United States

Disclosure(s):
Brianne B. Roby, MD: No relevant relationships to disclose.
Andrew R. Scott, MD: No relevant relationships to disclose.
Jamie L. Funamura, MD, MPH: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Orofacial clefting has an incidence of 1/700 worldwide. Cleft lip and/or palate and other craniofacial anomalies can be divided into syndromic and non-syndromic. Newborns in these situations may have a number of functional and anatomical abnormalities that can affect feeding, cause airway obstruction, or result in a referred newborn hearing screen. While newborns at hospitals with multi-disciplinary cleft and craniofacial teams may have experts readily available to help manage these complex issues, these infants are often born in locations that do not have cleft or craniofacial experts, and general otolaryngologists may be the experts called upon to manage the feeding and swallowing issues, an infant in respiratory distress, or how to determine next steps for hearing screening.

This miniseminar will provide the participant a perspective on how a general otolaryngologist can manage a newborn with cleft or craniofacial anomalies. Difficult cases will also be presented. Audience touchpad interaction will facilitate discussion. The format will include presentations including airway management in an infant with Robin Sequence, feeding management in a newborn with cleft lip and palate, and hearing screening and management in a newborn with microtia. Experts in speech therapy and audiology will offer insight on management of these patients. This forum supports the goals of the new AAO-HNS Cleft and Craniofacial committee made up of pediatric otolaryngology and the facial plastic surgery subspecialties.

OUTCOME OBJECTIVE 1: Recognize airway anomalies such as Robin sequence and understand initial steps for management

OUTCOME OBJECTIVE 2: Discuss feeding recommendations for patients with cleft palate to avoid NG tubes

OUTCOME OBJECTIVE 3: Ensure that proper follow up for newborn hearing screen is followed for patient with microtia.

BACKGROUND STATEMENT: Cleft and craniofacial patients with complex needs are often born in facilities without accredited multi-disciplinary Cleft/Craniofacial teams. Initial management often relies on General Otolaryngologists to manage airway, feeding, and hearing concerns.