Garebot900
I am going to buy a video baby monitor for my newborn son and the two I have narrowed it down to are the Motorola MBP41 and the MBP43-2. Other than the obvious inclusion of the second camera, I have not really seen any significant difference in the product minus the slightly larger screen. The MBP41 is $149 at Babies-R-Us and the MBP43-2 is $239. I think the second camera and bigger screen would be a great addition, especially if we decide to have another kid any time soon, but I don't know if the price difference is really worth dropping $100 extra bucks. Share your opinions now!
Answer
The MBP41 - the MBP43-2 is great if you have two young babies, but you don't and by the time your next child is born, your eldest will probably be out of a crib and not in need of a baby monitor.
The MBP41 - the MBP43-2 is great if you have two young babies, but you don't and by the time your next child is born, your eldest will probably be out of a crib and not in need of a baby monitor.
My two months kid suffering from Branchial sinus disorder?
sriraja_sr
Dear doctors/Pediatrician surgeons,
Recently we found a hole below the neck.When we consulted doctor he told us this is called "Branchial sinus". He said that this has to go under surgery. But we suggested us to wait for 3 more months. I am very much worried, such 2 month small baby going under surgery make me worried. When i asked doctors, he says this is minimal and mild.No need to worry at all.
I request in this yahoo give me some kind of incite on this disorder
1. What is real cause of this disorder & can at be operated for infant also.?
2. How serious is this? will it effect my baby in future? what kind of precausions i should take care?
3. Can it be cured by medicines? or is surgery must?
thanks you all
Answer
Dear Member,
It appears that your baby may have a branchial cleft sinus, which is a developmental issue that is not all that uncommon in newborns. Up to 30% of congenital neck masses in babies are due to branchial cleft anomalies. While it is true that surgery is often required for definitive therapy, the actual disorder itself is benign.
What is a branchial cleft sinus? Although the wording is quite confusing, the principle is actually fairly simple. Believe it or not, all mammals resemble the early stages of fishes during very early gestation. In fact, very early on during development, humans have structures that resemble the gills seen in fish. However, we clearly donât have gills, so what is really going on? The process of going from a fertilized egg to a fully developed baby human is an extraordinarily complex process that has remained fairly conserved throughout many species.
In humans the head & neck area develops in a series of arches of tissue; however, between each arch lies a depression, much like a fissure or a pit. Normally, these will regress (as we donât quite walk around with gills) and disappear. However, occasionally, some of these small little holes will persist and create small cavities or tracts within the neck. By themselves, these sinuses, cysts, or tracts, are harmless. The problem is that they have a strong tendency to get infected. When that happens, because these sinuses are located fairly deep in the neck, there is the potential for an abscess to form that can interfere with the airway, breathing, and swallowing.
There are a variety of different types of branchial cleft cysts, sinuses, or tracts (fistulas). They are categorized depending on which cleft is causing the problem; thus there are 1st, 2nd, 3rd, and 4th branchial cleft anomalies. By far, the most common one is the 2nd branchial cleft cyst or sinus, which is probably what your child has. These cysts or sinuses can be fairly superficial or very deeply located within the neck. Your doctor may want to obtain some imaging, such as a CT scan, to investigate this further. Depending on the type of cyst, your doctor may recommend excision as soon as possible versus within 2-3 years.
Currently, there is much debate regarding when is the best time to perform surgery for this problem; some proponents of doing surgery right away claim that this will remove the sinus or cyst before it gets infected and becomes much more problematic. Those in favor of waiting 2-3 years to perform the surgery claim that neck surgery in infants is potentially more dangerous. Regardless, surgeries are successfully performed commonly in infants & toddlers to remove such cysts. Your best bet is to sit down with your doctor and discuss your concerns regarding the surgery; let him/her explain to you how deep the sinus is and exactly what the surgery would entail. No surgery is free of possible risks and complications, and any surgeon that fails to cover them in detail is not facilitating informed consent by the patientâs parents.
Another possible alternative is to seek the opinion of a second pediatric head & neck surgeon. Often, surgeons can have different views on how to best manage the same disorder because of differences they have received during their training. Find out if they also recommend surgery at such an early point or if they would prefer to monitor and wait. There is no need to rush into a decision, consider all aspects of this, including the benefits & risks.
Fortunately, you may rest assured that this problem is often easily treated with surgery and does not represent anything that would prevent your child from developing into a beautiful, healthy, and fully functional individual. However, it is not something that can be treated with medicine, as the sinus tract will not disappear without surgery. Things to watch out for, which are very important, include looking out for any swelling or redness in the neck, as these may point to the development of an abscess.
Best of luck
References:
1.Cummings Otolaryngology: Head & Neck Surgery, 5th ed. Chapter 45 âEpistaxisâ.
2.Acierno SP. âCongenital Cervical Cysts, Sinuses and Fistulaeâ. Otolaryngol Clin N Am 40 (2007) 161â176
Dear Member,
It appears that your baby may have a branchial cleft sinus, which is a developmental issue that is not all that uncommon in newborns. Up to 30% of congenital neck masses in babies are due to branchial cleft anomalies. While it is true that surgery is often required for definitive therapy, the actual disorder itself is benign.
What is a branchial cleft sinus? Although the wording is quite confusing, the principle is actually fairly simple. Believe it or not, all mammals resemble the early stages of fishes during very early gestation. In fact, very early on during development, humans have structures that resemble the gills seen in fish. However, we clearly donât have gills, so what is really going on? The process of going from a fertilized egg to a fully developed baby human is an extraordinarily complex process that has remained fairly conserved throughout many species.
In humans the head & neck area develops in a series of arches of tissue; however, between each arch lies a depression, much like a fissure or a pit. Normally, these will regress (as we donât quite walk around with gills) and disappear. However, occasionally, some of these small little holes will persist and create small cavities or tracts within the neck. By themselves, these sinuses, cysts, or tracts, are harmless. The problem is that they have a strong tendency to get infected. When that happens, because these sinuses are located fairly deep in the neck, there is the potential for an abscess to form that can interfere with the airway, breathing, and swallowing.
There are a variety of different types of branchial cleft cysts, sinuses, or tracts (fistulas). They are categorized depending on which cleft is causing the problem; thus there are 1st, 2nd, 3rd, and 4th branchial cleft anomalies. By far, the most common one is the 2nd branchial cleft cyst or sinus, which is probably what your child has. These cysts or sinuses can be fairly superficial or very deeply located within the neck. Your doctor may want to obtain some imaging, such as a CT scan, to investigate this further. Depending on the type of cyst, your doctor may recommend excision as soon as possible versus within 2-3 years.
Currently, there is much debate regarding when is the best time to perform surgery for this problem; some proponents of doing surgery right away claim that this will remove the sinus or cyst before it gets infected and becomes much more problematic. Those in favor of waiting 2-3 years to perform the surgery claim that neck surgery in infants is potentially more dangerous. Regardless, surgeries are successfully performed commonly in infants & toddlers to remove such cysts. Your best bet is to sit down with your doctor and discuss your concerns regarding the surgery; let him/her explain to you how deep the sinus is and exactly what the surgery would entail. No surgery is free of possible risks and complications, and any surgeon that fails to cover them in detail is not facilitating informed consent by the patientâs parents.
Another possible alternative is to seek the opinion of a second pediatric head & neck surgeon. Often, surgeons can have different views on how to best manage the same disorder because of differences they have received during their training. Find out if they also recommend surgery at such an early point or if they would prefer to monitor and wait. There is no need to rush into a decision, consider all aspects of this, including the benefits & risks.
Fortunately, you may rest assured that this problem is often easily treated with surgery and does not represent anything that would prevent your child from developing into a beautiful, healthy, and fully functional individual. However, it is not something that can be treated with medicine, as the sinus tract will not disappear without surgery. Things to watch out for, which are very important, include looking out for any swelling or redness in the neck, as these may point to the development of an abscess.
Best of luck
References:
1.Cummings Otolaryngology: Head & Neck Surgery, 5th ed. Chapter 45 âEpistaxisâ.
2.Acierno SP. âCongenital Cervical Cysts, Sinuses and Fistulaeâ. Otolaryngol Clin N Am 40 (2007) 161â176
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