It totally makes sense that kiddos with clefts would have deviated septums…our ent said that when you remove tonsils and leave adenoids as they do in most cases of kiddos with clefts, the adenoids grow bigger. He said that Joe definitely has a deviated septum that it just comes withe the cleft, but that isn’t what is causing the breathing issues b/c when you have a deviation, the side that is larger compensates for the side that is smaller. Joe’s sinus cavities are swollen (not surprised it’s alergy season here.) He gave a nasal steroid to use for 3 weeks; I am to call back at that time and tell them if he has improved. If not, it’s off to a sleep study to see if he’s loosing too much oxygen. If he’s loosing to much oxygen, then we’ll have to consider removing the adenoids. He said as far as the septum goes, that’s a 16-17 year old procedure if/when Joe decides to have rhinoplasty.