Abstract SUBMUCOUS clefts of the palate are of great importance to the otolaryngologist. This condition must be searched for in all children considered for tonsil and adenoid surgery as well as those children presenting with chronic middle ear disease or speech defects not responding satisfactorily to speech therapy. The purpose of this paper is to review the signs and symptoms of this congenital deformity and emphasize the need for an early diagnosis so that the repair of the palatal defect can be coordinated with ear, nose, and throat procedures. All too frequently submucous clefts of the palate are unmasked at the time of tonsil and adenoid surgery by the development of persistent postoperative cleft palate speech. The submucous cleft palate has been recognized in the literature for over a century and one quarter. An excellent review of this condition appeared in the British literature in 1952.1 The cleft is considered References 1. Steffensen, W.H.: Palate Lengthening Operations , Plast Reconstr Surg 10:380-387 ( (Nov) ) 1952.Crossref 2. Patterson, T.J.S.: Congenital Ring Constrictions , Brit J Plast Surg 14:1-31 ( (April) ) 1961.Crossref 3. Porterfield, H.W., and Trabue, J.C.: Submucous Cleft Palate , Plast Reconstr Surg 35:45-50 ( (Jan) ) 1965.Crossref 4. Gylling, V., and Soivio, A.: Submucous Cleft Palates: Surgical Treatment and Results , Acta Chir Scand 129:282-287 ( (March) ) 1965. 5. Calnan, J.: Submucous Cleft Palate , Brit J Plast Surg 6:264-282 ( (Jan) ) 1954.Crossref 6. Subtenly, J.D., and Baker, H.K.: The Significance of Adenoid Tissue in Velopharyngeal Function , Plast Reconstr Surg 17:235-250 ( (March) ) 1956.Crossref 7. Calnan, J.: Movements of the Soft Palate , Brit J Plast Surg 5:286-296 ( (Jan) ) 1953.Crossref
Archives of Otolaryngology – American Medical Association
Published: Aug 1, 1968
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