On Harelip and Cleft Palate | Project Gutenberg

INDEX.

A.
Accessory teeth in harelip, 54
Acquired apertures in palate, treatment of, 144
Adenoids in cleft palate, 71
question of removal of, 70, 104
Adults, harelip in, 69
After-treatment of harelip operations—
immediate, 85
mechanical and manual aids, 148
secondary operations for broad columna nasi, 148
V-notch, 147
After-treatment of palate operations—
educational, 150
for tension of velum, 149
immediate, 127
Age for harelip operations, 74
palate operations, 101
Albrecht, chief works of, 49
on accessory teeth in os incisivum, 54
on intermaxillary sutures, 27
on morphological position of alveolar harelip, 45, 48
Alveolar harelip, 3
dentition of, 51, 54
morphological position of, 48
Anæsthesia in cleft palate operations, 105
in harelip operations, 77
per rectum, 157
Animals, occurrence of deformities of, 10
Articulation, action of palate in, 35
defective after successful operation, 150
education required to improve, 150
in cleft palate, 69
Artificial vela, arguments for, 143
definition of, 139
objections to, 144
varieties of, 142
Assistant, duties of, in palate operations, 107
Atresia of nose, congenital, 14
Auricular appendages in macrostoma, 20
Author’s gag for operations on mouth, 109
incisions for double harelip operation, 98
single harelip operation, 81
B.
Bardeleben’s treatment of os incisivum, 94
Biondi on intermaxilla, 47
Blandin’s treatment of os incisivum, 94
Bony suture of palate, or osteoplasty, 133
Breadth of cleft palate diminished after closure of lip, 73
palate decreased after closure of cleft, 151
Breath, fœtid, in cleft palate, 71
Buccal cleft, or macrostoma, 19
Butcher’s treatment of os incisivum, 95
C.
Callender on intermaxilla, 46
Carless on intermaxillary sutures, 26
on intra-uterine cicatrix of lip, 5
on maternal shock, 25
Causes of congenital deformities, 23
Caustics in acquired deformities, 156
use of, after palatal operations, 132
Cheiloplastic operations for harelip, 91, 99
Classification of deformities of mouth, 1
Cleft palate, absence of uvula in, 9
action of muscles in, 64
arrangement of muscles in, 63
articulation in, 69
associated deformities, 11, 65
closed by facial flaps, 137
condition of pharynx in, 71
cranial deformities associated with, 65
development of, 59
effect of varying slope of segments, 65
feeding of patients with, 67
fœtid breath in, 71
frequency of, 9
functional results of, 67
influenced by closure of harelip, 73
moral effect of, 69
occurrence in animals, 10
operative treatment of (see Operative treatment of cleft palate)
pharyngeal complications, 71
slope of segments in, 9, 65
taste in, 71
uncommon varieties of, 8
varieties of, 5
vomer in, 6
width of, 9
Coles, nipple-shield for feeding infants with cleft palate, 68
on cranial deformities in cleft palate, 65
on size of normal palate, 32
Collis’s operation for unilateral harelip, 90
Collodion dressing for harelip, 84
Columna nasi, condition of, after bilateral operation, 146
secondary treatment of, 148
Condition of palate, immediate, after operation, 126
remote, after operation, 151
Cranial deformities in cleft palate, 65
D.
Davies-Colley, method of closing cleft palate, 134
Deformities associated with harelip and cleft palate, 11
of cranium in cleft palate, 65
of palate associated with mental dulness, 33
Deglutition, normal action of velum in, 34
Dentition in alveolar harelip, 51, 54
in facial clefts, 58
Desault on treatment of os incisivum, 93
Development of anterior nares, 41
of bones of skull, 42
of eyes, 38
of face, 37, 41
of intermaxilla, 43, 44
of mandible, 37
of mouth, 36
of nasal duct, 41
of nose, 39
of palate, 40, 43
of teeth, 43
of tongue, 41
Dieffenbach’s operation for unilateral harelip, 91
Division of levator palati by Fergusson’s method, 125
Pollock’s method, 126
Dog-nose, 15
Double harelip, median tubercle in, 61
operative treatment for (see Operative treatment for double harelip)
os incisivum in, 3, 62
Dressing for harelip operations, 84
E.
Edges, how to pare, in cleft palate, 120
Education of patients after palatal operations, 150
Ehrmann on change of shape of palate after uranoplasty, 151
on normal shape and size of palate, 32
statistics of early operations for cleft palate, 101
Endognathion, 27, 45
Exognathion, 27, 45
External nasal process, 39
its relation to the lip, 56, 57
Extirpation of os incisivum, 92
v. reposition, 96
F.
Facial cleft, 16
associated with harelip, 18
morphological position of, 57
varieties of, 17
Feeding of infants after harelip operations, 76, 85
with cleft palate before operation, 67
after operation, 128
Fergusson (Sir W.), loop-method of passing sutures, 121
method of dividing muscles in staphyloraphy, 125
on muscles in cleft palate, 63
on os incisivum, 62
osteoplasty, 133
Fissure of cheek (see Macrostoma), 19
lower lip (see Mandibular cleft), 21
palate (see Cleft palate), 5
upper lip, facial cleft, 16
harelip, 2, &c.
median harelip, 12
Fœtid breath in cleft palate, 71
Food, regurgitation of, in cleft palate, 67
Forceps for palate operations, 111
Franco on removal of os incisivum, 92
G.
Gag, author’s, in operations on the mouth, 109
Mason’s, 109
T. Smith’s, 108
Gensoul, forcible repression of os incisivum, 93
Gilis on intermaxilla in fœtus, 46
Giraldés’ or mortise operation for harelip, 88
Globular processes, 39
absence of, in median harelip, 58
Goethe on intermaxilla, 45
on morphological position of alveolar harelip, 45, 48
Graefe, operation for unilateral harelip, 86
H.
Hæmorrhage in palate operations, 117, 126
secondary, 132
Hainsby’s truss, 84
Hard palate, abnormal shape of, 33
function of, 34
history of operations upon, 115
measurements of, 32
mucous membrane of, 30
operative treatment of (see Operative treatment of cleft palate)
osteology of, 26
shape of, 32
after uranoplasty, 151
syphilitic disease of, 154
vascular supply to, 30
Harelip, action of labial muscles on, 60
ætiology of, 23
alveolar (q. v.), 3
anatomy of, 60
associated deformities, 11
causes of nasal deformity, 61
characters of, 2
condition of parents’ mouths in, 23
connections with maxillæ, 61
frequency of, 9
hereditary character of, 23
intra-uterine closure of, 5
maternal impression or shock in, 24
median (see Median harelip), 12
nose, shape of, in, 3
occurrence of, in animals, 10
operation for double, author’s, 98
Bardeleben’s, 94
Blandin’s, 94
Butcher’s, 95
Desault’s, 93
Franco’s, 92
Gensoul’s, 93
Langenbeck’s, 95
Sédillot’s, 99
T. Smith’s, 100
operation for single, author’s, 81
Collis’s, 90
Dieffenbach’s, 91
Giraldés’, 88
Graefe’s, 86
König’s, 89
Malgaigne’s, 87
Mirault’s, 89
Nélaton’s, 86
Stokes’s, 89
operative treatment for (see Operative, &c.)
double, 92
single, 77
percentage of, in different sexes, 4
Hare’s lip, characters of, 2
Heredity in harelip, 23
Hexaprodontous jaws, 27, 53
I.
Incisions in uranoplasty, 117
hæmorrhage from, 117, 126
lateral, in staphyloraphy, 126
secondary hæmorrhage from, 132
Instruments for palate operations, 108
Intermaxilla, absence of, in median harelip, 12
Albrecht on, 45
Biondi on development of, 47
Callender on, 46
development of, 39, 43, 44, 56
Gilis on development of, 46
Goethe on, 45
Intermaxillary sutures, number of, 27, 46
relations of, to alveolar harelip, 47
to facial cleft, 57
to median harelip, 58
Intra-uterine closure of harelip, 5
J.
Jaw, treatment of aperture after removal of upper, 145
K.
Kölliker on dentition in alveolar harelip, 52
König, operation for unilateral harelip, 89
L.
Langenbeck on condition of palate after operation, 151
operation of uranoplasty, 115
treatment of os incisivum, 95
Levator palati, description of, 28
division of, by Fergusson’s method, 125
by Pollock’s method, 126
function of, 29
Lip, compressors of, in harelip operations, 80
development of lower, 37, 58
of upper, 39, 56
underhung condition of lower, 147
use of collodion in depressing lower, 85
M.
Macrostoma, 19
auricular appendages in, 20
morphological cause of, 58
results of, 21
Malgaigne, operation for unilateral harelip, 87
Mandibular cleft, 21
morphological cause of, 58
Mason’s gag, 109
method for relieving tension of united velum, 149
modification in osteoplasty, 133
teat for infants with cleft palate, 67
Maternal impression or shock, 24
Mechanical and manual after-treatment of harelip operations, 148
Median harelip, 12
cerebral malformations in, 14
cranial defects in, 14
morphological cause of, 58
with intermaxilla absent, 12
with intermaxillary cleft, 14
Mental development in relation to shape of palate, 33
Mesognathion, 45
in alveolar harelip, 49
Mirault, operation for unilateral harelip, 89
Mouth, development of, 36
Muscles of soft palate, 28
division of, in staphyloraphy, 125, 126
N.
Nasal twang in cleft palate, 69
causes of persistence of, after operation, 150
Needles for palate operations, 112
Nélaton’s operation for unilateral harelip, 86
use of, for recurrent V-notches, 147
Nesbitt on palatal sutures, 45
Nipple-shield for infants with cleft palate, 68
Nose, development of, 39
shape of, in harelip, 3
shape of, in harelip, cause of, 61
shape of, in median harelip, 13, 14
Nutrition, difficulty of, in cleft palate, 67
O.
Obturators, arguments in favour of, 143
characters of recent, 141
definition of, 139
for acquired apertures, 144
objections to, 144
review of history of, 140
use of, 144
Operative treatment by facial flaps, 137
of acquired apertures of palate, unsatisfactory character of, 156
Operative treatment of cleft palate—
after-complications, 129
after-treatment, 127
anæsthesia, 105
anterior part of cleft, treatment of, 135
assistant’s duties, 107
condition of palate after, 151
education of patient after, 150
facial flaps employed for, 137
hæmorrhage in, immediate, 117, 126
secondary, 132
history of, 115
instruments for, 108
osteoplasty, 133
period for, 101
position of patient in, 104
preparation of patient, 103
shape of palate after, 151
staphyloraphy, 126
superiority of, to mechanical appliances, 144
sutures, materials employed for, 113
methods of passing, 121, 123
period for removal of, 129
typical result, 149
uranoplasty, 115
Operative treatment of harelip—
after-treatment, 85
anæsthesia, 77
detachment of lip from maxilla, 78
dressing employed, 84
effect of, on width of palatal cleft, 73
feeding of infant after, 76, 85
formation of prolabium, 79
Hainsby’s truss, 84
lip compressors in, 80
period for, 72
pins, use of, in, 81
position of patient, 77
preparation for, 76
prevention of V-notch, 79
stages of, 77
statistics of, 74
suturing lip, method of, 83
typical result, 79, 146
V-notch after, 147
Operative treatment of double harelip (see Harelip, operations for double)—
of labial tissues, 98
of os incisivum (q. v.), 92
usual result of, 147
Operative treatment of single harelip (see Harelip, operations for single)
Os incisivum, dentition of, 54, 62
description of, 61
position of, in double harelip, 3
Os incisivum, treatment of—
extirpation (Franco), 92
extirpation v. reposition, 95
fixation of, after reposition, 95
forcible repression (Gensoul), 93
gradual repression (Desault), 93
reposition after division of septum (Blandin, Bardeleben, Butcher), 94
Osteoplasty, Fergusson’s operation, 133
Mason’s modification, 133
reasons for discontinuance, 133
P.
Palate, acquired apertures in, 144, 154
cleft (see Cleft palate)
development of, 40, 43
hard (see Hard palate)
processes, 40
soft (see Soft palate)
Passavant on narrowing of cleft palate, 73
Period for operation on cleft palate, 101
on harelip, 72
Philtrum, 62
treatment of, 98
Phonation in cleft palate, 35
Pins, use of, in harelip, 81
Pollock, method of dividing levator, 126
on cleft palate, 64
Position of patient in operation for cleft palate, 104
for harelip, 77
Preparation of patient in operations for cleft palate, 103
for harelip, 76
Prevention of V-notch, 79
Prolabium, formation of, 79
R.
Raspatories for palate operations, 110
Reposition of os incisivum (see Os incisivum), 93
Rose (E.), position in palate operations, 104
Rose (W.), gag, 109
operation for double harelip, 98
single harelip, 81
S.
Secondary operation for closing fistulas in palate, 131
prominence of lower lip, 97, 148
reducing size of columna, 148
tension of united velum, 149
V-notches, 147
possibility of, after sloughing, 138
Sédillot, operation for double harelip, 99
Shape of hard palate, after uranoplasty, 151
normal, 32
Smith (T.), direct method of suturing palate, 123
gag, 108
modification of uranoplasty, 134
needle for palate operations, 124
operation for double harelip, 100
Soft palate, functions of, 34
muscles of, 28
methods of division of, 125, 126
vascular supply of, 31
Stages in operation for cleft palate, 116
harelip, 77
Staphylo-pharyngoraphy, 137
Staphyloplasty, 137
Staphyloraphy, 126
Statistics of early operations for cleft palate, unfavorable, 101
operations for harelip, 74
Stokes’s operation for single harelip, 89
Sutton on median harelip, 13
Sutures, direct method of passing, 123
loop-method of passing, 121
materials employed for, in lip operations, 83
in palatal operations, 113
method employed for adjusting, in double harelip, 99
single harelip, 83
period of removal of, after lip operations, 84
after palate operations, 129
Syphilitic affections of hard palate, 156
velum, 155
treatment of, 156
T.
Taste, improvement of, after closure of cleft palate, 150
in cleft palate, 71
Tertiary syphilitic affections of palate, 156
Tonsils, enlargement of, in cleft palate, 70
treatment of, 103
Typical result after operation for cleft palate, 149
harelip, 146
U.
Underhung lip after removal of os incisivum, 96, 147, 148
Uranoplasty (see Operative treatment for cleft palate)
description of, 116
effect of, on shape of palate, 151
history of, 115
Uvula, absence of, 9
fissure of, 8
method of suturing, 123
muscles of, 29
V.
Velum palati (see Soft palate)
V-notches in lip margin after operation, 79
treatment of, 147
Voice, causes of non-improvement in, after operation, 150
characters of, in cleft palate, 69
education of, necessary, 150
Vomer, condition of, in double harelip, 6, 63
development of, 41, 43
position of, in cleft palate, 6
treatment of, in double harelip, 93
use of mucous membrane over, 134
W.
Warner on association of mental dulness, &c. with deformed palates, 33
Wolf-jaw (Ger. Wolfsrachen), 3, 6
Wolff’s artificial velum, 143
Wölfler on mandibular clefts, 58