A study of the congenital cleft palate deformity

419 Pages·036.454 MB·English

by  Graber, Touro M

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The proteXeae of congenital deforaiiiee have b m studied
fcy as&tqr imrestig&tors md fitter precis* mrphm,&g±ml descrlpt-
Ioqi are raadily found on & variety of citae«n*lltlM which occur
la the human bogy* literature de^esd&tag deft Xip end
deft palate is replete with discussion* m etiology, hereditary
px^diapoeiilon, surgical and jmetbetie correction and structural
detail* Bui signifieiuatay absent is my d&mamie concept of this
static relation of parte as they undergo envXroiwaataX »odifi~
cation and follow an ascending and changing pattern of growth
and dewaXepcesat*
Xt appear* insufficient to dose the palatal cleft end
establish m adequate tissue a&ais in the wt&^ph&rjngml area
for velc^phar/ngeal waiving and separation of the newel and oral
cavities during aisstie&ilm* deglutition and speech* What nay he
a surgical success at two years of age when judged by an esthetic
end fimctXo&aX yardstick, any he a conflate failure at twenty
years when the same yardstick le a plied* Xt is not enough to
dose the lip and palate and leave the rest to nature* We mist
know sfcen md where growth takes place* tn the developmental
pattern for a deft palate individtaal the mm® m for a normal
eae? Why do the result* very so arneh for different surgical
philosophies end ages at which surges le instituted? I* It
posaXbl* to retard growth of the atftadXXa with cicatricial bands
of iiesu* that result fro» surgical manlpul&tlaaf Can early and
repeated trmaaa to maadlllory growth centers impair their effort
to produce & normal neadlla? Bow do patients with surgically
ar*pal*sd «toeo wto haw had ao swgwjrf
' flow well csaa. the -wMjiiai mm. of mmdee eon*
i
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• p£i^.«L4^ ^£]^ ft "tMS. iff tO
iMfcsee' of the nf- -iaiNNfttsstit*- Xf, the ■: above > <pie&il0R&
’,-:o&& b*': ffiftecvelfti C - ^syy - of tbs, various■
of ^^iabii;irtat^l^H>. of the, cleft gjCffietfr individhsX. c#n~