. St. Thomas's Hospital reports. ranoplastie et les Divisions coiigenitales du • Die Operative Cliirurgie, vou Jotiann Friedrich DicfPenbach, Eiv^ter Band,1845. 52 (hi Cleft Palate. there are even exceptions to this rule; thus, M. Ancelet^ refersto an example in which there was a total absence of tiie softpalate in a child ; and amongst other anomalous conditions, aninstance is reported in the * lirit. !Mcd. Journal for March,1857, in which the left side of the uvula adhered to the edge ofthe soft palate near the tonsil. Besides the fissured palate other deformities have been occa-sio
. St. Thomas's Hospital reports. ranoplastie et les Divisions coiigenitales du • Die Operative Cliirurgie, vou Jotiann Friedrich DicfPenbach, Eiv^ter Band,1845. 52 (hi Cleft Palate. there are even exceptions to this rule; thus, M. Ancelet^ refersto an example in which there was a total absence of tiie softpalate in a child ; and amongst other anomalous conditions, aninstance is reported in the * lirit. !Mcd. Journal for March,1857, in which the left side of the uvula adhered to the edge ofthe soft palate near the tonsil. Besides the fissured palate other deformities have been occa-sionally met with in the same patient. I remember one curiousinstance which was under the care of Mr. Bowman at KingsCollege Hospital in 1859. There was eversion of the lower lipwith two openings of buccal glands, besides a complete fissureof the palate with double harelip. These fistulous openingsperpetually discharged a secretion, which so annoyed the patientthat an operation was required. It consisted in dissecting Fia. up the apertures and turning them back so that the dischargemight enter the cavity of the And in a case of com-plete cleft of the palate sent to me by my friend Mr, SamuelOsborn there was also a congenital fissure of the lobe of theright ear, in another example congenital talipes calcaneus waspresent in both feet, and in a tiiird the little patient had markedhypospadia. In looking into a patients mouth it is well to bear in mindthat sometimes the appearance after an injury of the upper jawclosely resembles that after an operation for cleft palate. I was Bullet. Mid. de rAisne, 18G7, No. 2. - Brit. Med. Joiirii., August 20tb, 1859, p. GGfi. Tbis case is probably soine-wbat similar to tbe one to whicb I referred in St. Tboiuass Hospital Iti-ports,1875, p. 141, art. Harelip. On CUft Palate. 53 much struck with this fact iu the case of a man aged 19,who applied as an out-patieut at St. Thomass Hospital onJune 1st, 1876, for another ailment. The right s
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