An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . plied, can also be madeeffective without anaesthesia, but are apt to terrorize both the child and itsparents. Syrup of iodide of iron, internally, tends to correct the underlying dyscrasia—lymphatism. IX. Cleft Palate. True cleft palate is a congenital fissure in the roof of the mouth, of variableextent. The so-called acquired cases differ therefr
An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . plied, can also be madeeffective without anaesthesia, but are apt to terrorize both the child and itsparents. Syrup of iodide of iron, internally, tends to correct the underlying dyscrasia—lymphatism. IX. Cleft Palate. True cleft palate is a congenital fissure in the roof of the mouth, of variableextent. The so-called acquired cases differ therefrom in presenting an unequal,ragged, or incomplete cleft, such as would be produced by the destructive ulcer-ations of syphilis. The extent of congenital cleft may vary from the slightestmanifestation, that of a bifid uvula, to the grossest form of conjoined cleftpalate and hare-lip, in which the fissure involves not only the velum palati andhard palate, but penetrates one or both sides of the alveolar arch and upperlip, with the presence of a separate intermaxillary structure. This article, 28 434 AMERICAN TEXT-BOOK OF DISEASES OF CHILDREN. however, will not embrace the subject of hare-lip except incidentally (Figs. Fig. Bifid Uvula. Cleft Palate Cleft Palate and Hare-lip con-joined. Etiology and Pathology.—Nature fails to complete her design as origin-ally intended, and the defect doubtless dates from an early period of intra-uterinelife. It is that the same causes which produce rickets in children areprone to effect cleft palate. A deficient supply of phosphates in the diet of themother, or failure on her part to thoroughly assimilate the phosphatic elements,may be regarded as an exciting cause. Vander Veer states that several years ago the lions in the Zoological Gar-dens of London were fed upon flesh containing too large bones for them tobreak and swallow, as is their custom. The young born while this method offeeding was pursued were obser
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