Intended for healthcare professionals

Letters NICE on faltering child growth

Faltering growth in children: improving early detection of cleft palate

BMJ 2017; 359 doi: (Published 08 November 2017) Cite this as: BMJ 2017;359:j5082
  1. Sophie Butterworth, junior cleft fellow,
  2. David Sainsbury, consultant cleft and plastic surgeon,
  3. Peter Hodgkinson, consultant cleft and plastic surgeon
  1. Northern and Yorkshire Cleft Lip and Palate Service, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK
  1. sophie.butterworth{at}

Gonzalez-Viana and colleagues summarise NICE guidelines on faltering growth in children.1

We acknowledge that this paper is not intended to focus on specific medical or surgical problems that cause faltering growth but rather on a general approach of assessment and management in these children.1 But we think that one further guideline might be beneficial to your audience.

Ineffective suckling, clicking sounds, or nasal regurgitation while …

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