For a long time in the progress of surgery, operations on the deformity known as cleft palate were of uncertain benefit as to permanent results, and were accompanied by a higher mortality than other plastic operations. Statistics as to the degree of malnutrition existing in infants with cleft palate were not obtainable until recent years, because no records were kept of the weight of these infants in the surgical wards. In two large general hospitals in Washington, no accurate nutrition data concerning these infants were kept before 1916. This was found true also in at least two of the best known general hospitals in other large cities.
The general interest in infant nutrition, which has increased rapidly within the last decade, has caused the modern surgeon to realize that infant tissues do not heal readily when infant metabolism is at fault. Yet the nutrition of infants with cleft palate does
JOHN A. FOOTE. MALNUTRITION IN INFANTS WITH CLEFT PALATEWITH A DESCRIPTION OF A NEW EXTERNAL OBTURATOR. Am J Dis Child. 1925;30(3):343–346. doi:10.1001/archpedi.1925.01920150059006