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The method advocated by Brophy for bringing the palatine processes in apposition as a preliminary to operative procedure for uniting the soft parts, and so successfully employed by him, has not in my hands been so satisfactory. Even when successful it is so at the expense of a great amount of mutilation of the parts and suffering of the individual. The one other method that has been more generally employed with instances of satisfactory results is that of having the mother encourage the inward growth of the cheeks and, consequently, the palatine processes by firmly compressing the cheeks on either side with the two hands at the same time. This method, of course, can only be successfully employed before ossification has caused fixation.
My repeated failures, therefore, with most of the devices heretofore employed in retaining the palatine processes in position have incited me to devise the comparatively simple instrument
HAMMOND LJ. INSTRUMENT FOR APPROXIMATION OF THE PALATINE PROCESSES IN CASES OF CONGENITAL CLEFT PALATE. JAMA. 1909;LII(9):699. doi:10.1001/jama.1909.25420350025002b
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