Oral surgery : a text book of diseases of the mouth intended chiefly for the use of students of dentistry / by Edmund W. Roughton.

  • Roughton, Edmund W.
Date:
[between 1890 and 1899?]
Catalogue details

Licence: Public Domain Mark

Credit: Oral surgery : a text book of diseases of the mouth intended chiefly for the use of students of dentistry / by Edmund W. Roughton. Source: Wellcome Collection.

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    very small and too much out of place to be made use of; it is better, if possible, to force it back into place by partially dividing its base of attachment, or by removing a wedge- shaped piece from the septum of the nose. The central piece of lip should be completely pared; two flaps are then cut from the lateral portions, and brought down and united to each other below the central part ; the latter is sutured to the two united lateral pieces. CLEFT PALATE. Cleft Palate results from failure of the palatal processes of the superior maxillary plates to unite with each other in the middle line and with the premaxillary bone in front. The cleft may be complete, extending through the middle of the uvula, soft palate and hard palate, and through the alveolar process at the line of suture on one or both sides of the pre- maxillary bone, or it may involve the uvula alone, or the whole length of the soft palate, or a portion of the hard palate as well. The lower border of the vomer may be free in the cleft or attached to either margin. The malformation interferes very much with the functions of the mouth. On swallowing fluids regurgitation takes place through the nose. Infants with cleft palate are unable to suck, and consequently die unless carefully fed by hand. Later in life speech is nasal and indistinct, and taste and smell may also be impaired. Treatment. The infant must be fed by means of a feeding bottle with a teat large enough to act as a plug to the cleft, or by a spoon passed well to the back of the mouth. The mother’s milk should be used, if possible. The operation