Surgeons Report

The ENT went 1st.  Matthew does have some uniquenesses in his airway.

1- Matthew has laryngomalacia, which is where the soft cartilage of the voice box collapses in.  This is often seen in infants, but they usually outgrow it by 1 year.  Matthew likely continues to have it because of his low muscle tone.

2- Matthew also has tracheomalacia (mild), where the windpipe collapses a little, also likely because of his low tone.

3- Matthew also has subglottic stenosis (mild). His throat narrows right below his vocal cords, which is likely causing the issues  with intubation and will make him more prone to croup and strider. The throat tube size for his age is 4.0, and his size is actually a 3.5, so they have been intubating him with tubes too big.  We'll work with the ENT to monitor this over time. It sounds like issue 1 and 2 aren't as big of concerns as this issue. 

Then went Urology.

Dr. G brought Matthew's testes down and closed up the hernia on both sides.  He scoped the urethra that did have damage from the foley catheter incident at Matthew's first surgery and he checked the bladder where he didn't find any evidence of the urachus.  We'll just have to keep an eye out for any issues with the urethra, which may or may not develop with time. 

After surgery, Matthew was taken to recovery and when I was called back, he was awake and sucking down as much Pedialyte as they would give him.  After waiting to ensure all was well, and consulting with anesthesiology to ensure that Matthew's airways sounded clear (didn't want a repeat of last time), we came home.  After which, Matthew proceeded to suck down a bottle of formula and fall fast asleep in his crib. 

Thanks be to God for protecting our sweet baby Matthew and thanks be to everyone who prayed and sent well wishes to our Mattie!  Thank you!