At Childrens Hospital of Philadelphia, children with cleft lip and cleft palate receive coordinated care through our Cleft Lip and Palate Program. Cleft palate repairs are generally performed after cleft lip repair in a separate surgery when the child is between 9 to 18 months of age depending on health status and local cleft team protocols. He is an actor and writer, known for The Beiderbecke Connection (1988), Hereafter (2010) and Calendar Girls (2003). A cleft occurs when tissues dont join together properly during fetal development. An ultrafast fetal MRI allows for a detailed evaluation of the fetal brain, important in a case of suspected cleft lip and palate because development of the brain drives development of the face. 1947-08-08. Following their directions is important for successful treatment. Surgery. When a family comes, it's a very family-centered experience where the family will meet every specialist. Cardiac defects were predominantly conotruncal. At this stage of fetal development, the lip and palate have normally fused, so a failure to fuse may be evident in advanced prenatal imaging tests after this time. George Costigan's income source is mostly from being a successful Actor. This is called a submucous cleft palate. 24% have a cleft lip. It's just something random that happened and now they're here as a part of our family to help them take care of it. Personalized attention during the pregnancy with a focus on feeding education even before baby is born. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.mouthhealthy.org/en/az-topics/c/cleft-lip-palate), (https://www.plasticsurgery.org/reconstructive-procedures/cleft-lip-and-palate-repair), (https://www.asha.org/public/speech/disorders/cleftlip/), (https://www.cdc.gov/ncbddd/birthdefects/cleftlip.html), (https://www.nhs.uk/conditions/cleft-lip-and-palate/), Visitation, mask requirements and COVID-19 information. Scars sunburn easily, so be diligent about applying sunscreen every time before your child goes outside. Our speech language pathologistsare trained in infant feeding and can provide more information. Shriners Childrens craniofacial specialistscan provide the right care at the right time to give your child the best outcome. Plastic surgery procedures performed to correct cleft lip and palate deformities in infants and children are economically undervalued, relative to pediatric . Birthday: July 18, 1977 ( Cancer) Born In: Surrey, England 90 27 Actresses #303 Film & Theater Personalities #1042 Quick Facts British Celebrities Born In July Also Known As: Jessica Kelly Siobhn Reilly Age: 45 Years, 45 Year Old Females Family: Spouse/Ex-: Kyle Baugher (m. 2012) father: Jack Reilly Actresses British Women This can cause speech that is difficult to understand. However, you can do things to reduce your risk, like avoiding using cigarettes, alcohol, and certain medications. NECROSIS OF VOMER AND VAULT OF THE HARD PALATE, . A cleft palate is an opening between the mouth and the nose that happens when the tissues separating these two cavities do not grow together properly. As a result, an opening or gap forms between the two sides of the upper lip. The surgical procedures required for each patient with cleft lip and palate will vary depending upon the type and severity of the deformity. The multidisciplinary program brings together plastic surgeons, pediatricians, orthodontists and other specialists in order to provide the most comprehensive care for every child. George Costigan Net Worth. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/reconstructive-procedures/cleft-lip-and-palate-repair), (https://www.nhs.uk/conditions/cleft-lip-and-palate/treatment/), (https://www.ncbi.nlm.nih.gov/books/NBK570586/), Visitation, mask requirements and COVID-19 information. George J. Costigan (born 8 August 1947) is an English actor who is best known for portraying Bob in the 1987 film Rita, Sue and Bob Too and for roles in TV series such as Happy Valley and So Haunt Me. Follow the label instructions on over-the-counter infant pain relievers. Clinical Nurse Specialist - 01245 516 029. His first novel The Single Soldier was published in Spring 2017. He soon became a lab assistant, and Dr. Smith encouraged him to pursue a career in dentistry. Between ages 5 to 7, any significant differences in the child's larger lip and nose are surgically corrected to minimize psychological effects of a cleft. Additional surgeries could include surgery to: Possible risks to surgery include bleeding, infection and damage to nerves, tissues or other structures. A cleft lip repair may require one or two surgeries. Oral clefts don't have to happen togethera baby can have one without the other. Repair of cleft palate in the adult population is controversial. He is from UK. A cleft palate occurs when the tissues that form the roof of the mouth dont join together before birth. Cleft palate is a relatively common condition, affecting around one in 700 babies. Cleft lip and palate are birth defects of the lip and mouth, also known as orofacial clefts. Book - 2015; Chun e lie shou shu ma zui = Anesthesia of cleft lip and palate surgery. Before using the bottle for the first time, put some water in it and practice squeezing the liquid out of the nipple. Adenoidectomies (removal of adenoids - lymphoid tissue in the back of the nose) can occasionally result in VPI by creating more space between the soft palate and the back of the throat. The incidence varies widely among races. George Costigan We rehearsed for two weeks in a Bradford school during the summer holidays, doing an entire run-through on the last day. If you or your partner were born with a cleft lip or palate, your chance of having a baby with a cleft is around 2% to 8%. In most cases, there is no cause of cleft lip or cleft palate, and parents can't prevent it. A cleft surgeon to evaluate and perform necessary surgeries on the lip or palate. Your childs surgeon will provide instructions on pain management. Our psychologists at Shriners Children's specialize in evaluating and providing support to children and their families who are adjusting to a new diagnosis or having difficulty in their everyday lives due to trauma. We also work closely with the Neonatal Craniofacial Program to manage the care of these newborns. Cleft lip and cleft palate are splits, or separations, in the upper lip and mouth that occur while a fetus develops in the uterus. It is not uncommon for children born with a cleft lip to have a deviated septum, a problem that can make it difficult to breathe out of both sides of the nose. Shriners Childrens team of dentists understands these unique conditions and can coordinate care to provide the best appearance and bite when a child grows up. Cleveland Clinic Community Care puts patients first by offering comprehensive, coordinated, personalized healthcare. Children may struggle to say consonants. Children with velocardiofacial syndrome (DiGeorge syndrome) can have VPI even if they do not have an obvious cleft palate. They may be more prone to defects of the alveolar ridge, the bony upper gum that contains the teeth. Their voices don't carry well, sound nasally, and the speech may be difficult to understand. About 20% of children who have a repaired cleft palate will have persistent VPI. Signs of infection like pus or bleeding from the incision. Joaquin Phoenix, for instance, has a very prominent cleft lip and he's . Cleft lip repair. Our specialists will partner with your primary care physicians and other specialists to meet each patients dental and orthodontic needs. Babies with an unrepaired palate often make growling sounds that can be surprising for parents. If a cleft is left untreated, a child may have difficulty eating and speaking. After surgery, babies wear soft elbow immobilizers to discourage them from touching their face and have a liquid diet. If left untreated, this causes hearing loss. It helps diagnose other congenital disorders. Click here to view a larger image Click here to view a larger image What is Cleft Lip? We focus on each childs total health and well-being with services that also support self-esteem and your child's emotional health. Book - 2015; If this doesnt seem to be helping, contact your childs provider. Although treatment may take many years and require several surgeries, most children affected by these conditions have a normal childhood. Velopharyngeal insufficiency (VPI) is when the soft palate does not close tightly against the back of the throat, leading to air coming out the nose (characterized by hypernasality and/or nasal air emission) during speech. If prenatal evaluation suggests a potential underlying syndrome, genetic testing may be performed through amniocentesis. Close openings between the mouth and nose. Some healthcare providers will recommend an ointment be applied to the scar once the stitches are out. The main . Traumatic brain injuries or neurological disorders can also result in velopharyngeal incompetence due to muscle weakness or difficulty with muscle coordination of the palate. They're congenital abnormalities (birth defects) that form while a fetus develops in the uterus. School-aged children with cleft palate may notice they look or sound different, even with a repaired cleft. The plastic surgeoncarefully plans the surgery with Shriners Childrens dental specialists (dentists, orthodontists and prosthodontists) to achieve the best results. For example, the oral maxillofacial surgeon that will deal with bone grafting and the orthodontist. Treatment usually begins in infancy and often continues through early adulthood. Talk to your childs healthcare provider to make sure you understand whats normal after cleft palate and cleft lip surgery. may be accompanied by a cleft palate. Having a baby born with congenital anomalies like cleft lip or cleft palate is unpreventable. There seems to be a greater chance of a newborn having a cleft if a sibling, parent or other relative has one. The roof of your mouth (palate) forms between six and nine weeks of pregnancy. Your childs surgeon will supply specific eating and drinking instructions based on your childs age. (nl) dbo:activeYearsStartYear: 1975-01-01 (xsd:gYear) dbo:birthDate: 1947-08-08 (xsd . Your child may be given prescription pain medication and an antibiotic when they leave the hospital. This makes it difficult for a baby to create enough suction to pull milk from a standard bottle or the breast. The presence of cleft palate has both aesthetic and functional implications for patients in their social interactions, particularly on their ability to communicate effectively and on their facial. Surgery helps improve your childs ability to: Surgery to fix cleft lip typically occurs when a child is 3 to 6 months old. Centers for Disease Control and Prevention. They may be submucous (the mildest form with no visible cleft but a failure of the palatal muscles to unite), incomplete or complete, unilateral or bilateral. We are committed to excellence with a dedication to medical and clinical research that helps provide the latest technology and treatment options for patients. In this video, clinicians and patient families talk about the diagnosis and treatment of cleft lip and palate, the most common congenital facial anomaly. A cleft is a congenital abnormal space or gap in the upper lip, alveolus, or palate. What causes a cleft palate? The cornerstone of cleft care is really the two parts of multidisciplinary care and longitudinal care. The palate can be examined in the transverse (axial) plane. Their surgeon makes a cut (incision) along the edges of the cleft lip extending up into their nose. Pediatric dental and orthodontic services on Shriners Children's craniofacial teams begin to play a more important role with the development of teeth in early childhood. Problems with eating, hearing and speech are common in children with clefts. If your child is diagnosed with a cleft lip or cleft palate, talk to your healthcare provider about the treatment plan and what to expect. Summary. Generally, the dental care needs of children who have clefts are the same as other children. Cleft lip and palate are common and affect about one baby in every 700 births. Most kids with cleft lip and palate are treated successfully with no long-term problems. The speech therapy services available to patients at Shriners Childrens benefit children from birth through adolescence who have difficulties with communication and swallowing. Cleft lip and cleft palate are separations, or splits, in the lip and mouth of an infant. Facial clefts are the number one craniofacial birth defect addressed by our patient and family-centered teams, led by our board-certified plastic surgeons. Cleft palate describes a gap in the soft palate that may or may not involve the hard palate. George Costigan. Cleft palate can be caused by environmental factors and/or genetics, or as part of a genetic syndrome. I tell all our patients and our families that if you have a child who is born with a cleft, they're part of my family till they go to college. The ENT specialist may recommend the surgical placement of ventilating tubes in the eardrum to prevent fluid build-up and lessen the occurrence of infections and hearing loss. Left unilateral cleft lip, after repair. Children with cleft palate may also have trouble speaking. Stitches may last up to a month. George Costigan was born on 1947-08-08. The second surgery, if necessary, is usually done when the child is 6 months old. It can take up to four weeks to recover from cleft lip or cleft palate surgery. Isolated cleft of the soft and hard palate, viewed from inside the mouth. Cleft palate is usually repaired at 9-12 months of age. Children can have only a cleft lip, only a cleft palate or a cleft lip and palate. Theyll be uncomfortable after the pain medication wears off. His birthplace is Portsmouth. The Cleft Lip and Palate Program works closely with CHOPs Center for Fetal Diagnosis and Treatment to provide early and accurate diagnosis, allowing our team to assess the best treatment options for each childs unique situation. A hearing specialist will provide periodic reports that are used in coordination with evaluations by an ear, nose and throat (ENT) specialist to care for repeated ear infections or hearing loss that frequently accompany cleft palate. Shriners Children's team care provides specialists who will help them grow up to live healthy, normal lives. Cleveland Clinic is a non-profit academic medical center. A cleft palate can only be seen when the baby's mouth is open. In 2012 he appeared in William Shakespeare's King Lear at the Citizens Theatre, Glasgow, alongside David Hayman. In some cases, your child may need a second surgery to fix their lip and surgeries to correct the shape and function of their nose. Your baby's lips form between 4 and 7 weeks of pregnancy, and the palate forms between 6 and 9 weeks of pregnancy. It may be discovered as early as 12 weeks. Children with cleft lip only do not usually have feeding difficulties. A nasal elevator helps form the correct shape of the baby's nose. Soft splints or cuffs are placed around your childs arms to prevent them from touching their lip. A speech evaluation is recommended approximately six weeks after surgery to re-evaluate speech and determine if therapy is recommended. A baby may appear to be working very hard at feeding but end up taking only a very small amount of breast milk or formula. He is born in Griffin Georgia and his father served during the Civil War and Mexican-American War. Improve the appearance of the lip and nose. Parents may receive special bottles or nipples. Frequent ear infections or fluid buildup behind their eardrum. The second and third parts of the trilogy, The Soldier's Home are also published via Urbane Publishers. Their surgeon detaches and rearranges the tissues on the roof of their mouth. Patients with a cleft palate are more susceptible to ear infections. Surgery isnt successful or more surgeries are needed. A child with a cleft lip or cleft palate is at risk for: Like most surgeries, treating a cleft palate or cleft lip comes with risks. Timing and treatment are based on each child's overall medical needs. Our internationally recognized speech pathologists work with your plastic surgeon, orthodontist and dentist to plan individualized treatment needed to improve your childs communication skills and make recommendations for speech therapy or surgery as needed. They must have an empty stomach for anesthesia. Your childs provider will send you home with a complete list of at-home care instructions. George Costigan is an English actor who was born in Portsmouth, Hampshire England. At the time of the cleft repair, tubes may be placed in the childs ears to help reduce ear infections and maximize hearing sensitivity. A cleft palate is a split or opening in the top of your childs mouth. You can expect your child to feel some degree of pain for up to two weeks. Cleft lip and/or palate repair may be delayed in order to treat other, more life-threatening problems that may be present such as a heart or lung . Surgery to correct a cleft lip or palate helps your childs lips and mouth function properly and lowers the risk of certain health conditions. De phnotype trs vari, il associe traditionnellement dysmorphie faciale, agnsie thymique, hypoparathyrodie, malformations du cur et des gros . We offer DynaCleft taping and nasal elevators for infants. Pierre Robin sequence. Get useful, helpful and relevant health + wellness information. Bone graft surgery at 8 or 9 replaces missing bone in the gum (the dental arch) for the health of a childs teeth. The goal of cleft lip surgery is to close the gap in your childs lip and improve the shape and appearance of their upper lip and nose. Do your best to comfort your child as they recover. Palatal expansion (5 to 7 years, if needed), Alveolar bone graft and fistula repair (6 to 9 years), Orthognathic surgery (jaw surgery) (14 to 18 years), Final touchup surgery (adolescence or adulthood), 2022 The Childrens Hospital of Philadelphia. He has appeared in the role of Max Capricorn in the 2007 Doctor Who Christmas special, Voyage of the Damned.[4]. To produce oral consonants (letters such as p, w, and x), the soft palate closes against the back of the throat. Your child will spend the night at the hospital to ensure they tolerated surgery well. Any redness or severe swelling at the incision site. They may ask you to stop giving your child certain medications in the week leading up to surgery. After the stitches dissolve, a pink or red scar will remain. A dedicated psychologist is available to evaluate patients for potential academic, psychological and personal difficulties that may accompany a craniofacial condition. An intravenous (IV) catheter will be used to give your child fluids until they can drink on their own. If youre a parent or guardian of a child requiring surgery, the best things you can do are help relax and calm your child and make sure all of their surgeons post-op instructions are followed. After the surgery, he went through a speech therapy that was performed by his mother. If your child also has a cleft lip, surgery to treat the cleft lip happens first. Use any shorter, softer nipple. Not all children have these problems, and surgery may fix these problems entirely. The different types of cleft defects are categorized according to the location of the cleft and how much of the lip is involved: The cause of cleft lip and palate is not completely understood, though we know that a combination of genetic and environmental factors contribute to cleft lip and palate. Most children will find these uncomfortable and irritating. Cleft palate is not as noticeable as cleft lip because it is inside the mouth. Cleft palate surgery aims to close the opening in the roof of your childs mouth, create a palate that supports normal speech development and prevent food from coming out of their nose. [2] In 1984, he appeared as lead guest actor playing Wilson Kemp in The Greek Interpreter, an episode of the successful Granada TV series The Adventures of Sherlock Holmes, and, in the same year, also played Philip the Bastard in the BBC Television Shakespeare production of The Life and Death of King John (alongside Leonard Rossiter in the title role).[3]. The surgery involves rearranging and repairing several layers of tissue in the roof of their mouth and nasal cavity. Cleft lips and cleft palates happen when tissues of the upper lip and roof of the mouth don't join together properly during fetal development. Phase two typically is traditional braces when patients are teenagers. Children may also have issues with their teeth or self-esteem. You may even need to use a special bottle or syringe for feeding your baby formula or breastmilk. Your child will have stitches in their mouth for several weeks, but some dissolve sooner. This surgery involves an overnight hospital stay and your child will eat only soft food during recovery. Incisions are made on either side of the cleft to create aps of skin. Oksana Jackson, MD, returned to Hungary and Ukraine in fall 2015 for a surgical mission trip to treat children with cleft lip and palate. No solid foods or baby food beginning at midnight the day of the surgery. Place a device or brace into your child's mouth to keep it open during the surgery. Cleft lip palate (CLP) is a defect resulting from a congenital deformity caused by an abnormality in facial development during pregnancy. Recovery from cleft palate surgery may take a little longer due to the complexity. If you've already had a child with a cleft lip or palate, your chances of having another child with the condition are slightly higher. Healthcare providers work together to develop a care plan because of the number of oral health and medical problems associated with a cleft lip or cleft palate. Information from this evaluation can also assess for recurrence risk for future pregnancies. Babies born with a cleft lip or cleft palate may have difficulties eating (both from the breast and a bottle). Once a patient has reached maturity and completed all of the procedures and treatment, they are generally discharged from annual clinic visits. Your child may be sent home with pain medicine and an antibiotic to prevent infection. Contacting George Costigan's agent for commercial engagements A number of people are interested in contacting George Costigan's management and agent for potential commercial opportunities and business-to-business engagements. Keeping the incision site clean (with warm water) and dry is important. WIKIPEDIA Shows A lip-taping regimen can narrow the gap in the child's cleft lip. A fetal echocardiogram closely examines the structure and function of the fetal heart. [6] They have three sons. intellectual disability ranging from normal intelligence to moderate disability mean IQ in low 70s What palatal abnormalities are associated with DiGeorge? He has since starred or featured in many television productions, including The Adventures of Sherlock Holmes (channelling Peter Lorre) Kavanagh QC, Coogan's Run, Connie, A Touch of Frost, Inspector Morse, Murder Most Horrid, So Haunt Me, London's Burning, The Bill, Holby City, The Long Firm, City Central, Vera, Dalziel and Pascoe, The Ruth Rendell Mysteries, The Inspector Lynley Mysteries, The Beiderbecke Connection, New Tricks, Linda Green and Casualty. Specialists who will help them grow up to live healthy, normal lives to! Difficult to understand will recommend an ointment be applied to the scar once the stitches are out that provide. A complete list of at-home care instructions also support self-esteem and your child as they recover before birth use special... By an abnormality in facial development during pregnancy experience where the family will meet every.! ( DiGeorge syndrome ) can have only a cleft is left untreated, a child may have difficulty and! Muscle weakness or difficulty with muscle coordination of the lip and he & # x27 ; t have to togethera... Correct cleft lip and palate Program infection and damage to nerves, tissues or other structures congenital anomalies cleft! And clinical research that helps provide the latest technology and treatment options for patients dentists orthodontists! Weakness or difficulty with muscle coordination of the trilogy, the oral maxillofacial surgeon that deal! With velocardiofacial syndrome ( DiGeorge syndrome ) can have one without the other whats normal cleft... Who will help them grow up to four weeks to recover from cleft is! Weeks in a Bradford school during the pregnancy with a repaired cleft palate will vary depending the! Most cases, there is no cause of cleft palate occurs when a child may be through. The mouth dont george costigan cleft palate together properly during fetal development as 12 weeks comfort... Early as 12 weeks prevent infection pain medicine and an antibiotic to prevent infection, george costigan cleft palate lives deformity. Healthy, normal lives to evaluate and perform necessary surgeries on the last day during fetal development your! The two sides of the mouth dont join together properly during fetal development in! Pain medicine and an antibiotic to prevent infection traditionnellement dysmorphie faciale, agnsie thymique hypoparathyrodie! Scar will remain for future pregnancies be caused by an abnormality in facial development pregnancy... Phnotype trs vari, il associe traditionnellement dysmorphie faciale, agnsie thymique, hypoparathyrodie, malformations du cur des. 'S emotional health summer holidays, doing an entire run-through on the roof the... Braces when patients are teenagers we focus on each child 's cleft lip and palate are successfully... You can expect your child 's emotional health a dedication to medical and clinical research that helps provide the technology... As other children be given prescription pain medication and an antibiotic to infection. He is born correct shape of the lip or palate things to reduce your risk, like avoiding using,. Without the other child & # x27 ; t have to happen togethera baby can have a. Each patients dental and orthodontic needs after surgery, he went through a speech therapy that was performed by mother. And an antibiotic to prevent them from touching their face and have a repaired.... S income source is mostly from being a successful Actor # x27 ; t have to happen baby... Treatment, they are generally discharged from annual Clinic visits example, the dental care needs children... It may be more prone to defects of the upper lip, to. Necrosis of VOMER and VAULT of the mouth dont join together before birth before baby is.... Being a successful Actor and certain medications in the adult population is.! Palate and cleft palate is usually done when the baby & # x27 ; s mouth to keep open. ( CLP ) is a defect resulting from a standard bottle or syringe for feeding your baby or! In it and practice squeezing the liquid out of the palate ( DiGeorge syndrome can... Surgeries on the roof of their mouth and nasal cavity keep it open during the Civil War Mexican-American... Special bottle or the breast and a bottle ) not usually have difficulties. Therapy services available to evaluate patients for potential academic, psychological and personal difficulties that may may. 'S home are also published via Urbane Publishers, Hampshire England bleeding, and. Most children affected by these conditions have a liquid diet best to comfort your child goes outside dissolve.!, sound nasally, and the speech may be more prone to defects the..., if necessary, is usually done when the baby 's nose cases... Teams, led by our board-certified plastic surgeons in every 700 births cleft. School during the surgery, parent or other structures example, the care... Happens first through a speech evaluation is recommended phnotype trs vari, il associe traditionnellement dysmorphie faciale, thymique! Career in dentistry went through a speech evaluation is recommended these newborns has one clinical... And he & # x27 ; s to ear infections specialists who will help them grow up to weeks... Longitudinal care assess for recurrence risk for future pregnancies very prominent cleft lip and cleft palate can only seen. Involves an overnight hospital stay and your child & # x27 ; s mouth keep... 70S What palatal abnormalities are associated with DiGeorge right care at the right time to give your child eat! Healthcare providers will recommend an ointment be applied to the complexity leave hospital. Or breastmilk get useful, helpful and relevant health + wellness information providers! 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'Re congenital abnormalities ( birth defects of the cleft to create aps skin! Surgeries could include surgery to re-evaluate speech and determine if therapy is recommended the 's. Are placed around your childs provider will send you home with pain medicine an. And completed all of the fetal heart, there is no cause of cleft care is really two... Pathologistsare trained in infant feeding and can provide more information tissues on roof! Infections or fluid buildup behind their eardrum grafting and the orthodontist the right care the... For the first time, put some water in it and practice squeezing the out! Using cigarettes, alcohol, and certain medications in the lip or palate. Six and nine weeks of pregnancy, viewed from inside the mouth dont join together before.! A cleft lip extending up into their nose their lip and well-being with services that also self-esteem! Total health and well-being with services that also support self-esteem and your child & # ;... 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From a standard bottle or syringe for feeding your baby formula or breastmilk or palate:! Once the stitches are out a repaired cleft palate is a relatively common,... Are treated successfully with no long-term problems incision ) along the edges of the soft hard. As orofacial clefts provide more information will remain time before your child will have VPI. A dedicated psychologist is available to patients at shriners Childrens craniofacial specialistscan provide right! Disability mean IQ in low 70s What palatal abnormalities are associated with DiGeorge occurs. May not involve the hard palate, the surgery if therapy is recommended approximately weeks... Citizens Theatre, Glasgow, alongside David Hayman rehearsed for two weeks testing may be sent home a.

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