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On harelip and cleft palate

CONTENTS.

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PAGE

CHAPTER I. General Introduction.

Harelip—Cleft palate—Frequency—Occurrence in animals—Associated deformities—Median harelip—Facial clefts—Macrostoma—Mandibular clefts—Causes of these deformities 1-25

CHAPTER II. Anatomy and Physiology of the Normal Palate.

The hard palate—The velum and its muscles—The mucous membrane—The blood supply—The shape and size of the hard palate—Functions 26-35

CHAPTER III. Development.

Normal development of mouth, face, nose, and teeth—Ossification—Development of intermaxilla; old ideas (Goethe’s, &c.); Albrecht’s theory—Harelip; position of cleft in alveolus, and in lip—Dentition; accessory teeth—Development of other deformities 36-59

CHAPTER IV. The Anatomy and Physiology of Harelip and Cleft Palate.

Harelip—Effect of labial muscles on deformity—Structure of os incisivum and labial segments.

Cleft palate—Arrangement and action of muscles—Shape of bony segments—Associated irregularity in shape of skull—Physiological effects in nutrition, articulation, &c. 60-71

CHAPTER V. Operative Treatment of Harelip.

Period of operation—Statistics—Precautions to be adopted.

Operation for single harelip: incisions; sutures; dressing; after-treatment—Various plans adopted.

Operation for double harelip: treatment of os incisivum—extirpation or reposition; treatment of soft parts 72-100

CHAPTER VI. Operative Treatment of Cleft Palate.

Period of operation—Preparation of patient—Anæsthesia—Duties of the assistant—Instruments—Description of uranoplasty; of staphyloraphy—After-treatment—Complications—Modifications of the operation 101-138

CHAPTER VII.

On Obturators and Artificial Vela 139-145

CHAPTER VIII.

Results of Treatment—After-treatment 146-153

CHAPTER IX.

Syphilitic Affections of the Palate 154-156

ADDENDUM.

Rectal Anæsthesia 157, 158

INDEX 159

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