. Deformities of the mouth : congenital and acquired, with their mechanical treatment. s born with hare-lip, the attentionof the medical practitioner or nurse is at onceattracted, and an examination made of the mouthto ascertain whether it is complicated with cleftpalate. If, however, there be no deformity of thelip, the simple cleft may not be observed untilthe child begins suckling. If the cleft be smalland confined to bifurcation of the uvula, this willnot cause much trouble, but should it extendthrough the soft palate into the hard, the milk willbe found oozing through the nose instead of
. Deformities of the mouth : congenital and acquired, with their mechanical treatment. s born with hare-lip, the attentionof the medical practitioner or nurse is at onceattracted, and an examination made of the mouthto ascertain whether it is complicated with cleftpalate. If, however, there be no deformity of thelip, the simple cleft may not be observed untilthe child begins suckling. If the cleft be smalland confined to bifurcation of the uvula, this willnot cause much trouble, but should it extendthrough the soft palate into the hard, the milk willbe found oozing through the nose instead of pass-ing from the mouth into the pharynx in the normalmanner. Under these circumstances, the child will have to depend for its support upon the nourishment that can be administered to it by means of a spoon or f eediug-bottle. The latter is undoubtedly 8 112 the better plan of the two, and the little patientmay be very much helped in the process of re-ceiving its food by having a contrivance, shownin the accompanying wood-cut, attached to theneck of the mouthpiece of a Maws Fig. palate-piece alone. Fig. palate-piece attached tothe ordinary nipple sold withMaws feeding bottle. This consists simply of a flap of elastic India-rubber made to fit to the roof of the mouth. Thepressure of the nipple against its under surfacewhen in position converts it into an artificialpalate-piece, and prevents the escape of the milkinto the nose in the effort of swallowing. It wassuggested some years back in an article by Williams, in the Dental Review, that a flap ofthin sheet elastic, not modelled to the arch of thepalate, but simply cut out and sewn on to thefeeder should be used; when it is not convenientto obtain such an one as I have just described thisis a very good expedient, but if it is possible toprocure a properly-fashioned arrangement, it is 113 evident the discomfort and anxiety that mustarise in these cases will be very much lessened. Sponge or leather* i
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmouth, bookyear1881
