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April 2, 1892

SALIENT FEATURES OF THE OPERATION FOR CLEFT PALATE.A Clinical Lecture Delivered at the Chicago Medical College, Medical Department of the Northwestern University, January 26, 1882.

Author Affiliations
Professor of Materia Medica and Therapeutics and of Laryngology and Rhinology.
JAMA. 1892;XVIII(14):412-415. doi:10.1001/jama.1892.02411180004001a

The little patient now being anæsthetized suffers from a congenital cleft of the palate which extends through the uvula and velum and some distance into the hard palate — about through the horizontal plate of the palate bone, but not involving the superior maxilla.

On inspection, the parts appear as if there were no soft palate, the side flaps being retracted by muscular tension, leaving a wide, inverted, V-shaped opening, through which is visible the posterior and superior walls of the naso-pharynx, with their covering of adenoid glandular tissue. In severer cases, the fissure may extend through the entire roof of the mouth, and may be conjoined with hare-lip. The operation is known as staphylorophy when the cleft involves the soft palate only, or extends but little into the hard palate, and osteoplasty when the palate process of the superior maxilla is so deficient as to necessitate the Fergusson procedure