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Nutrition and oral health
Published in Jackie Musgrave, Health and Wellbeing for Babies and Children, 2022
The baby's health can also impact on whether successful breastfeeding can be established. A baby requiring medical attention shortly after birth can mean that a mother is unable to hold her baby and breastfeed. The mother may have a physical barrier that makes breastfeeding more challenging, for instance, a mother who has inverted nipples can mean that the baby has difficulty or is unable to latch on and draw down milk.
Methylmalonic acidemia
Published in William L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop, Atlas of Inherited Metabolic Diseases, 2020
William L. Nyhan, Georg F. Hoffmann, Aida I. Al-Aqeel, Bruce A. Barshop
Patients with methylmalonic acidemia have a striking resemblance to each other, especially in infancy (Figure 3.6). The characteristic face includes a high forehead, broad nasal bridge, epicanthal folds, a long smooth filtrum, and a triangular mouth. A few have had other minor anomalies [23]. A recent patient of ours had inverted nipples. One patient had multiple defects at birth, including cardiac septal defects, hydronephrosis, and an appearance of Sotos syndrome [27].
Breast disorders in children and adolescents
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Nirupama K. De Silva, Monica Henning
Inverted nipples can occur in up to 10% of females.26 They may predispose patients to infections, which can usually be prevented by careful attention to hygiene of the recessed area. Inverted nipples can cause difficulty with breastfeeding, problems with sexuality, and/or aesthetic dissatisfaction. Due to such reasons, some patients may undergo surgical correction of the inversion. Surgical correction is possible, and Hernandez Yenty et al.27 recommend duct preservation surgical techniques. In their review, studies reported that 96% of patients who tried to breastfeed after treatment were successful.27
Correction of inverted nipples with the double-track sun-cross running suture technique
Published in Journal of Plastic Surgery and Hand Surgery, 2018
Jae Hoon Jeong, Iehyon Park, Jihyeon Han, Ji Ung Park
An inverted nipple is defined as a condition in which the entire nipple or a portion of the nipple is buried under the areolar surface. This condition is relatively common, with an estimated prevalence of 2–10% among all women [1,2]. Inverted nipples are considered to be caused mainly by an excessively short lactiferous duct, fibrous band formation or a lack of soft tissue beneath the nipple [3]. This deformity can result in serious aesthetic and functional problems, such as irritation, inflammation and limited breast-feeding ability. In addition, the appearance of inverted nipples can cause psychological distress to women, and decrease their self-esteem. Therefore, surgical correction of inverted nipples is recommended to improve the quality of life of affected women. The ideal surgical procedure would completely correct the inversion, have a low recurrence rate, result in minimal scarring and preserve the lactation and sensory functions of the region. Although various surgical techniques for correcting inverted nipples have been suggested, including flap or suture techniques, unsatisfactory results, including incomplete correction, scarring, nerve or duct injury and recurrence, have frequently been reported [4–7]. We introduce a new technique involving both a purse-string stitch for everting force and a core stitch for suspension buttress effects. To the best of our knowledge, this study is the first to attempt simultaneous peripheral and core stitches as a single running suture technique for sustainable correction of inverted nipples.