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Article
November 12, 1927

IMPORTANCE OF PEDIATRIC CARE IN OPERATIVE TREATMENT OF HARELIP AND CLEFT PALATE

Author Affiliations

Pediatrician, Bishop Clarkson Memorial Hospital; Associate Pediatrician, Methodist Episcopal Hospital OMAHA

JAMA. 1927;89(20):1666-1670. doi:10.1001/jama.1927.02690200018006
Abstract

In reviewing the reports in the literature of infants with the defects of cleft palate and harelip I find that practically all the articles deal with the surgical aspect of the condition and very few are devoted to the pediatric care of these cases. I note also that there is a difference of opinion among the surgeons, not only in this country, but particularly in the British Isles and Europe, as to the time of operation. Mr. Addison1 and Mr. Taynor of England advocate operation within the first to the third year and later. The majority of American surgeons, and particularly the oral surgeons, advocate the early operation within the first few weeks of life. Their opinion may be summed up by the following statement of Dr. Truman Brophy,2 who says:

A cleft palate is a fissure, a separation of well developed parts, not with rare exceptions the

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