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Progress in Pediatrics
September 1950

TREATMENT OF THE PATIENT WITH CLEFT PALATEPresent Day Concepts of a Pediatric Responsibility

Am J Dis Child. 1950;80(3):442-453. doi:10.1001/archpedi.1950.04040020453012

THE CONGENITAL malformation of cleft palate and cleft lip presents one of the most challenging problems in pediatrics. Appearing as it does in 1 of every 700 live births, there is no pediatrician who has not dealt with any number of these children and their harassed families. Unfortunately, too often pediatrics does not fulfil its obligations but passes the problem on to surgery where the best in technical and mechanical help may be obtained. Surgical repair is performed, and the child relegated to the mercies of society and spotty medical and dental care. It is because of this responsibility that it was felt that a consideration of the guidance of the over-all care of these patients would be of interest.

It is the pediatrician who initiates discussion and counsel concerning the infant's future with the grief-stricken parents. The baby's nutrition must be maintained, and it must be kept free of

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