A large percentage of these patients are not seen in early infancy by the operator, as the parents do not appreciate the importance of early operation. The parents of a child with cleft palate should be told by the family physician that, if not operated on before the fifth year, the child will never have clear speech no matter how good the cosmetic result, as the child will not be able to enunciate clearly if the operation is performed at a later date.
The Brophy operation should be performed before the end of the third month and Brophy himself operates as early as the second or third week. The technic, as described by Carmody in a recent paper is the following:
The patient having been anesthetized, preferably on the operating table, is placed in a semi-Trendelenburg position thus avoiding aspiration of blood. The lip is raised and with the special,
EMERSON L. OPERATIONS FOR CLEFTS OF THE HARD AND SOFT PALATE. JAMA. 1915;LXIV(4):301–305. doi:10.1001/jama.1915.02570300015006
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