Cleft palate, a pure deformity, has no pathology. Its incidence and the part heredity plays in its production have long been studied by Mr. William F. Blades of the Eugenics Record Office, but no deductions can be drawn from the data as yet collected; so we must pass by this interesting phase of the condition, as well as its anatomic complex.
The description of a method for the repair of a cleft palate will be limited to the single sided complete cleft. This is the most common lesion. All technical details applied to it are also applicable to other varieties of the deformity without special indication.
The time at which to operate is of initial importance. I wait until the child has passed the first three or four months of life and has established a satisfactory state of health. I advocate and practice operating before the eruption of any teeth.
SHERMAN HM. THE REPAIR OF CLEFT PALATEA TECHNIC AND THE REASONS FOR IT. JAMA. 1917;LXIX(23):1966–1969. doi:10.1001/jama.1917.02590500048013