On harelip and cleft palate - William Rose

[97] Wolff, ‘Berl. Klin. Wochensch.,’ 1889, p. 577.

[98] ‘Amer. Syst. of Dentistry,’ vol. ii, p. 1056.

[99] Baker, ‘Boston Med. and Surg. Journ.,’ 1889, p. 212.

[100] This is more likely to happen if the stitches are removed too soon from loss of their support.

[101] ‘Archiv für klin. Chir.,’ vol. v, 1, p. 3.

[102] Ehrmann, “Des opérations plastiques sur le palais chez l’enfant; leurs résultats éloignés,” ‘Cong. franç. de Chir.,’ 1888, p. 462.

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]

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