. Deformities of the mouth : congenital and acquired, with their mechanical treatment. ne of themouth of the infant. If metal is to be used at all,a better plan I think consists in making a domeshaped cover and soldering it to an ordinary eggor tea-spoon, leaving it open at each end so thatthe milk can readily flow in and out and yet bnconveyed to the back of the mouth without covered spoon is really a most efficient contri-vance in the hands of an intelligent nurse. I have sometimes found, however, the child soexceedingly delicate, that but little chance existedof saving the infants li
. Deformities of the mouth : congenital and acquired, with their mechanical treatment. ne of themouth of the infant. If metal is to be used at all,a better plan I think consists in making a domeshaped cover and soldering it to an ordinary eggor tea-spoon, leaving it open at each end so thatthe milk can readily flow in and out and yet bnconveyed to the back of the mouth without covered spoon is really a most efficient contri-vance in the hands of an intelligent nurse. I have sometimes found, however, the child soexceedingly delicate, that but little chance existedof saving the infants life unless it could be sup- * Snell, on Artificial Palates. 1828. 114 plied with nourishment from the mothers breast;I have therefore prepared an artificial palate,attached to a shield to go over the breast andthus enable the little one to take its naturalnourishment. Being made of thin elastic rubberit is not uncomfortable, and can be kept perfectlyclean, while from the form it is made in, it can beused for either breast. It is shown in position inthe accompanying woodcut, Fig. Fig. 36. The breast shield, and palate. Under the most favourable circumstances, andwhen the greatest possible care is exercised, thereis little doubt that the growth and developmentof the child is very much retarded, though itsconstitution may not ultimately suffer in con-sequence of the defective palate, beyond thatdelicacy of frame which is very often the accom-paniment of extreme parental anxiety and watch-fulness. 115 Hare-lip.—The time for operating upon thehare-lip will have to depend upon the state ofhealth of the babe, and may take place a fewhours or several months after birth, according tocircumstances. This is a matter exclusively inthe hands of the surgeon, and quite beyond theprovince of the present work to enter into, exceptin reference to one or two points which I desire tosubmit to the consideration of those who are inthe habit of frequently performing the operation. When the divi
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