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February 1, 1908


Author Affiliations


JAMA. 1908;L(5):342-345. doi:10.1001/jama.1908.25310310018001d

In consideration of what one may safely promise those who contemplate surgical operation for the closure of cleft palates, and more or less complete correction of the defects from which such persons suffer, there are many elements that must be taken into account.

First.—Above and beyond all else is the individual feeling on the part of the afflicted ones, which no normal person can fully comprehend, that their palates are whole, that they are as their fellows.

None can know what this means save those who have reached sufficient age to suffer the scoffs and jibes of school children, the heart-trying struggle to keep up in school or college with the handicap of imperfect speech, or the bitterness of social ostracism even though largely self-inflicted through supersensitiveness, and the untold trials of wage earning in competition with the anatomically perfect, though often less gifted mentally.

Second.—More healthful conditions of nose

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