Raphael saw his ENT today and she had a look at his grommets. She said that she was able to see both grommets despite the narrow external ear canals and that there didn't seem to be any problem.
We talked about the possibility of doing a videoed endoscope just before his next general anaesthetic, after he has been given drying medicine to clear up his secretions. The purpose of this is to confirm the problematic laryngomalacia around his vocal cords.
The ENT commented that the possible evidence of congenital cholesteatoma was probably just fluid in the ear and not actually skin. Apparently the ear drum is transparent and inspections does not show cholesteatoma. In addition there was no mention of this on the MRI.
During the consultation Raphael made a new sound "nyanyanyanyan". This is the first mixture of consents and vowels that I have heard him make.
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