Chapter IX: Syphilitic Affections of the Palate 154-156

ADDENDUM.

RECTAL ANÆSTHESIA 157, 158

INDEX 159

LIST OF ILLUSTRATIONS.

1. Hare’s lip (_Bland Sutton_).

2-6. Different varieties of harelip (after _Tillmanns_).

7, 8. Double harelip with projection of os incisivum, seen from
the front and in profile (_Fergusson_).

9. Complete cleft palate with double alveolar harelip (_Mason_).

10. Complete cleft palate without alveolar or labial deformity
(_Mason_).

11. Complete unilateral cleft palate with vomer attached to one
segment (_Mason_).

12-14. Incomplete fissures of the palate (_Mason_).

15. Cleft of lip, alveolus, and anterior part of palate only
(_Mason_).

16. Median harelip with absence of intermaxillæ (_Bland
Sutton_).

17. Median fissure of upper lip (_Bernard Pitts_).

18. Oblique facial cleft (_Tillmanns_, after _Kraske_).

19. Facial cleft in child (_Tillmanns_, after _Hasellmann_).

20. Double facial cleft with macrostoma (_Tillmanns_, after
_Guersant_).

21. Puppy’s head with double alveolar harelip and double
partial facial cleft (after _Albrecht_).

22. Lateral aspect of a severe case of macrostoma (_Bland
Sutton_).

23. Double macrostoma with auricular appendages (_Tillmanns_).

24. Ditto ditto (_Fergusson_).

25. Mandibular cleft (_Wölfler_).

26. Intermaxillary sutures of a tetraprodontous child’s jaw
(after _Albrecht_).

27. Intermaxillary sutures in a hexaprodontous jaw (after
_Albrecht_).

28. Muscles of palate dissected (_Fergusson_).

29. Head of fœtus at 5 weeks (_Sutton_).

30. Head of fœtus at about 6-7 weeks (_Sutton_).

31A. Head of fœtus at about 8 weeks, from the front (_Quain’s
Anatomy_).

31B. Head of fœtus seen from below (_Quain’s Anatomy_).

32, 33. Later stages of development of head (_Quain’s Anatomy_).

34. Diagram of development of palatal processes and
ethmo-vomerine plate (after _Gegenbaur_).

35. Bony palate of a 6 months’ fœtus (after _Gilis_).

36. Diagram illustrating “Goethe” theory of alveolar harelip.

37. Diagram illustrating “Albrecht” theory of alveolar harelip
in a tetraprodontous jaw.

38. Diagram illustrating “Albrecht” theory of alveolar harelip
in a hexaprodontous jaw.

39. Adult upper jaw with right-sided alveolar harelip and cleft
palate (after _Albrecht_).

40. Child’s jaw with cleft palate and double alveolar harelip,
showing the sockets of the teeth (after _Albrecht_).

41. Os incisivum (_Fergusson_).

42, 43. Diagrams illustrating the effect of differing slopes of
the palatal segments (_Mason_).

44. Teat of feeding bottles adapted for feeding infants with
cleft palate (_Mason_).

45. Coles’s nipple shield for ditto (_Coles_).

46A and B. Author’s incisions for unilateral harelip, and
position of sutures.

47A and B. Graefe’s operation for unilateral harelip.

48A and B. Nélaton’s ditto.

49A and B. Malgaigne’s ditto.

50A and B. Giraldés’ ditto, or the mortise operation.

51A and B. Mirault’s ditto.

52. Stokes’s ditto (_Mason_).

53A and B. Collis’s ditto (_Mason_).

54A and B. Author’s incisions for double harelip.

55. Sédillot’s operation for ditto (_Mason_).

56. T. Smith’s operation for ditto (_Mason_).

57. T. Smith’s gag with tongue plate (_Messrs. Arnold and Son_).

58. Mason’s gag (_Matthews Bros._).

59. Rose’s gag (_Matthews Bros._).

60. Various forms of raspatories (after _Durham_).

61A. Fine hook forceps.

61B. Smooth-nosed forceps.

61C. Knife for paring edges of cleft (_Mason_).

62. Angular long-handled catch forceps.

63. Various forms of needles.

64, 65. Diagrams to illustrate the effects of tightening the
sutures on the needle-tracks.

66. Wire twister (_Messrs. Maw, Son, and Thompson_).

67A. Diagram to show extent and position of incisions in
uranoplasty.

67B. Diagram of position of sutures and condition of palate
after operation.

68. Double-curved raspatories.

69. Loop method of passing sutures (_Mason_).

70. Method of tying slip-knot (_Fergusson_).

71. T. Smith’s palate needle (_Messrs. Arnold and Son_).

72-74. Various form of artificial vela (_Coles_).

75. Appearance in profile after operation for double harelip,
including removal of os incisivum (_Coles_).

ON HARELIP AND CLEFT PALATE.