Our birth defects attorneys strive to provide parents of children born with cleft palates and lips with pertinent information about their child’s disorder. Over half of children born with a cleft palate will encounter speech problems at some point during their lives. Regular evaluations by the speech-language pathologist on your child’s care team may be necessary to monitor your child’s speech and language progress and make any changes that are necessary. It is certainly possible for a child born with a cleft palate birth defect to not experience any speech disorders and, if the child has surgery before speech develops, the problem may be avoided completely. However, even if your child is not of speech age, it is important to familiarize yourself with difficulties that they may face in the future.
What Causes Speech Problems
When a cleft palate exists, the oral and nasal cavities are not separated, which causes two distinct issues that affect the formation of speech. First, the child has difficulty building the required air pressure in the mouth because it escapes out of the nose. Second, the tongue has less tissue available to touch on the roof of the mouth. Both of these issues make it difficult for a child to make some sounds required for speech. Once the palate is repaired it may be easier for your child to learn the sounds needed for the formation of speech. But remember: development of speech may end up being slower, so do not be frustrated.
Birth Defects Attorneys in New Jersey and Philadelphia
Parents often wonder if they require birth defects attorneys because their child was born with a cleft palate. In most cases, the answer is simply no: natural causes lead to the birth defect. However, contacting the Mininno Law Office birth defects attorneys may be one of the most important decisions you can make for your child if Topamax (Topiramate) was used while your child was in the womb. Topamax has been linked to a drastic increase in cleft palate formation when women take the drug while pregnant or during their child bearing years. If you believe that Topamax may have been a cause of your baby’s cleft lip or palate, do not hesitate to contact us.
We offer FREE consultations and case evaluations. There is no upfront cost to meet with the experienced birth defects attorneys at the Mininno Law Office. Please do not hesitate to ask our birth defects attorneys for help for your child. Contact the Mininno Law Office for a free case evaluation or call for a free consultation at (856) 833-0600 in New Jersey and (215) 567-2380 in Philadelphia.
The surgeon who performed the surgery, Dr. Shawn Goodman, said she “didn’t realize I had operated on the wrong eye until I was done operating on the eye”. The child’s mother reports that since the operation, there has been no improvement in the right eye and the left eye, which was unnecessarily operated on, now appears to be wandering also. The doctor did send out a nurse to inform the parents that they would be operating on both of the child’s eyes, but she provided no explanation and did not ask for the parent’s consent before she soon vanished. 
Healthcare Blue Book states that cleft lip surgery alone can cost an upwards of $1700. If your newborn baby suffers from a birth defect, such as cleft lip or cleft palate, that surgery costs on average more than $4000. These prices can vary depending on anesthesia fees and hospital fees that are not always included in the cost of the birth defect surgery. Other sources have the surgeries varying in price by several $1000 and the exact price of your child’s health will depend according to severity and location of the defect, as well as other external factors. 
If you believe that your child’s cleft lip/cleft palate may have been affected by your use of the Topamax drug, you probably have questions about what resources and remedies are available to you and what they will cost. Children who are born with a cleft lip/palate have a number of difficulties that will confront them in their lives. However, it is surgically possible to begin remedying the issue within the first two to three months after birth. In many cases, when surgery is undertaken, there can be a full and complete recovery. 
Topamax was prescribed to millions of people who were excited about this “medical break through”. Unbeknownst to those taking the medication, Topamax has been found to increase the occurrence of birth defects in expectant mothers who take it. Five years after its release, in March 2011, the FDA forced Topamax to issue a warning about the correlation between their drug and birth defects. Five years of availability on the market means that countless expectant mothers have taken this pill, hoping to no longer suffer from epilepsy and seizures. The FDA’s website has confirmed that taking Topamax will increase fetal risk of birth defects, such as cleft lip or palate. The severity of this side effect must be taken into consideration when prescribing medication to expecting mothers. If you take Topamax and suspect that you could be pregnant, you should seek a medical professional to receive an expert opinion on the matter. There are alternative medications available that have not shown side effects of birth defects which are far safer to take during pregnancy.
Your doctor will take your personal circumstance into deep consideration and will advise you of the great benefits that are possible from surgery, along with the potential risks and side effects. The advantages of surgery are obvious in helping the child’s dentition, oral health, and your child’s ability to lead a “normal” life. However, when making this important decision, you, as the parent, need to be aware of the potentially harmful effects. 
Cleft lip occurs in about one out of seven hundred births, meaning there are people who are ready to help your child live a normal life. This team consists of professionals like a plastic/craniofacial surgeon, pediatrician, orthodontist, pediatric dentist, speech language pathologist, ear nose and throat specialist, an audiologist, genetic counselor, nurse team coordinator, and a social worker. Each of these individuals will provide a form of support and strength to your baby and family. These professionals are trained to treat your baby’s needs and answer any questions you may have. Beyond providing healthcare for your baby, counselors and social workers are designated to help your child cope with the psychological aspects that may accompany a cleft lip/palate. A child with a cleft lip will face many health problems, but the deeper, emotional problems can be just as significant. These counselors will introduce you to organizations for certain birth defects, as well as support groups of other families just like yours. Despite the fear of the unknown, it is crucial to be an advocate for your child and to utilize all possible resources.
Diagnostic screenings will be needed in order to avoid reactions from the medications that will be given to your new baby for the surgery. The first phase of the surgery is the anesthesia. The anesthesia will be administered to your baby to put him or her in a “sleep like coma” to avoid pain. The sedation can be given generally or intravenously, and will be chosen depending on your doctor’s recommendations. Next, an incision will be made on either side of the cleft. This flap will then be sewn together to close the cleft. If the incision is successful the surgery is complete and your baby will wake up when the sedation wears off. Once your child is awake, it is important to closely follow the surgeon’s suggestions on caring for the wound. Certain medications may be taken orally or applied directly to the incision to aid in preventing infection and strengthening the new formation. There will be specific feeding restrictions for your child which your doctor will suggest for you. Following surgery, you may find your baby restrained to keep him or her from touching the surgical site until it heals. This surgery is the first of the process to correct clefts, and depending on the outcome of this surgery and your child’s individual case, he or she may need to undergo follow up procedures for health or cosmetic reasons.