The surgery of cleft palate in the course of its evolutional progress through constantly changing but, as we believe, steadily improving technic and operative methods, has finally become established on a sufficiently firm basis to warrant the assumption that any palate fissure may be closed by a surgical operation. This progress has also brought with it a realization that merely covering the roof of the mouth by carrying tissues across the palate fissure even though union may be ever so perfectly secured is not of itself sufficient to insure good speech results. More healthful nasal and oral conditions may thus be secured. The effect of improved respiration, together with the beneficial influence of local healthfulness on general health, may always be expected and these results alone are well worth all that undertaking the operation implies without consideration of speech improvement. Beyond this, individuals requiring this treatment may be assured that
BROWN GVI. THE SPEECH RELATION OF CLEFT PALATE OPERATION. JAMA. 1912;LIX(16):1440–1444. doi:10.1001/jama.1912.04270100208009
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