A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . hat it leaves a wide opening at the oro-nasalpassage, and consequently the speech rarely if ever is improved. Many of the svir-gical operations on cleft palate, though complete crass failures in the restoration CHAPTER VII. IRREGULARITIES AND SURGICAL FAILURES All of speech, when considered from a surgical standpoint, are worthy of being classedamong operations of the very highest order, demanding a degree of consummateskill and ingenuity in not only closing extensive clefts, bu
A practical treatise on the technics and principles of dental orthopedia and prosthetic correction of cleft palate . hat it leaves a wide opening at the oro-nasalpassage, and consequently the speech rarely if ever is improved. Many of the svir-gical operations on cleft palate, though complete crass failures in the restoration CHAPTER VII. IRREGULARITIES AND SURGICAL FAILURES All of speech, when considered from a surgical standpoint, are worthy of being classedamong operations of the very highest order, demanding a degree of consummateskill and ingenuity in not only closing extensive clefts, but in lengthening the softpalatal tissues in a manner that is truly wonderful. In the more skillful and ex-tensive operations of this character, when performed during infancy, vocal articu-lation is frequently quite perfect, though almost invariably lacking in normal toneand resonance; the speech being characterized by the peculiar nasal or cleftpalate quality. It is a deplorable fact, however, that the larger number of sur-gical operations of today are of a lower order, and that there are so many cleft Fig. The above illustration shews (1) a partial surgical union; (2) Expansion of the arch; (3) Restorationdenture, and (4) The obturator in position. palate operations attempted at all ages and upon all sizes of clefts, often with noapparent effort or expectation of doing more than to barely unite the borders ofthe cleft. These supposedly successful cases especially, and in fact all cases wherethe clefts have been completely united with results which debar the patient fromacqmring perfect speech, are particularly to be deplored, because it is rare thatpersons so afflicted or their friends will consent to the destruction of an operationwhich has been attained through such incalculable hardships. Nor can theybe assured, under the circumstances, that the usual perfect result of prosthetictreatment will be attained. Fig. 44 was made from the models of a man over twenty-five year
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Keywords: ., bookcentury1900, bookdecade1920, bookidpracticaltre, bookyear1921
