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March 23, 1946

Cleft Palate and Speech

JAMA. 1946;130(12):824. doi:10.1001/jama.1946.02870120070031

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This handbook by the speech therapist to several prominent British hospitals gives a most comprehensive view of this still difficult surgical and therapeutic problem. The text is well arranged and illustrated by line drawings, colored plates and photographs.

An introductory chapter deals with the embryologic formation of the nose, lips, alveolar rim, hard and soft palate and superior maxilla and mandible. There follows a classification of the different types of cleft lip and palate based on the embryologic derangement which causes them. There is a well illustrated description of the anatomy of the hard and soft palate, including the attached muscles with their innervation and blood supply. Chapter three provides an interesting historical account of the major developments in the surgical technic of palate repair with descriptions of the Langenbeck, Dieffenbach and Ferguson methods of median suture, the Lane flap and the Brophy compression operation. In more detail are described

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