[Skip to Navigation]
[Skip to Navigation Landing]
August 1930


Author Affiliations

Professor of Maxillo-Facial Surgery, Thomas W. Evans Museum and Dental Institute School of Dentistry University of Pennsylvania; Surgeon to St. Agnes Hospital and the American Oncologic Hospital PHILADELPHIA

Arch Surg. 1930;21(2):185-248. doi:10.1001/archsurg.1930.01150140002001

He who knows the past can best interpret the present 

English:  Congenital insufficiency of the palateCongenital shortening of the palateSubmucous cleft palate

French:  Brièveté vélo-palatineInsuffisance vélo-palatine

German:  Submukoese Spaltung des harten GaumensFissura ossea occultaFissura muscularis occulta

Italian:  Insufficienza velo-palatinaCongenital insufficiency of the palate is a condition in which the velum, assisted by the superior constrictor muscle of the pharynx, fails to produce sphincter-like closure between the nasopharynx and the oro-pharynx, a condition essential for the production of normal speech. While congenital insufficiency of the palate has probably existed from the beginning of the human race, no reference to it occurs in the literature until 1825.Roux,1 in 1825, first called the attention of the medical profession to congenital insufficiency of the palate. He stated in his paper that in 1823 he was consulted by a young girl who nasalized so badly that her