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Harelip and palatine fissure
140
QUARTERLY
REVIEW
OF LITERATURE
the mandible, tongue, maxilla, premaxilla, and upper lip during embryonic development. A double formation resulted. The study of such rare anomalies allows one to draw important conclusions regarding the normal developments of the face. H. R. M.
Harelip
and Palatine Fissure.
med., Buenos
Sires,
(Labio leporino y fisura de1 paladar.)
Hector Marina.
Dia
20: 3041, 1948.
Harelip and palatine fissure are congenital deformities requiring early attention and the greatest therapeutic perfection. For most satisfactory results the general preparation should be meticulous, and full cooperation of both the surgeon and the pediatrician is important. Furthermore, symmetry of the corrected parts should be accomplished with as few operative steps as are expedient. Palatine fissure, when present, should be repaired first. Ether-oxygen intratracheal anesthesia with procaine block is employed and Mirault’s modification of the Blair-Brown operation is the procedure of choice. In patients with bilateral harelip, the author prefers de Veau’s technique because it provides especially for preservation of the skin and mucosa In adults, the Bardeleben operation is considered indispensable. of the median tubercle. With its use, the normal arch of the nose and upper lip is preserved. In the repair of palatine fissure, care must be taken to avoid tension on the sutures. Approximation of the palatine muscles and preservation of the nutrient arteries are believed essential parts of the operation inasmuch as function is equally as important as anatomic reconstruction. T. J. C. Dar
Einfluss der Zahne, des Kauaktes und der Beweglichkeit auf die Entwicklung des Unterkiefers. (The Influence of the Teeth, the Masticatory Act, and the Mobility Ztschr. 4: 95, on the Development of the Jaw.) Peter Adler. Deutsche zahnarztl. 1949.
On the basis of various observations, especially of cases of anodontia and experimental germeetomy in animals, it seems doubtful that the function of mastication has any conIn cases of total stenosis siderable influence on the development of the body of the mandible. of the esophagus and feeding through a stomach fistula, it can be shown that the mandible On the other hand, developmental anomalies of the mandidevelops to normal configuration. ble in cases of ankylosis are proof that the mobility of the mandible influences the development markedly. The presence of teeth influences the growth of the mandible only by the transmission of energy, which is not a growth stimulant in itself. H. R. M. The editor of ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY wishes to point out that mandibular forward growth is due to apposition of cartilage and osseous activity in the head of the mandibular condyle. The foreign authors of the article should consult the American and English literature when writing articles. R,ushton of London has published a very good article on “Some Aspects of Anteroposterior Growth of the Mandible,” Dental (ORAL SURGERY, ORAL MEDICINE, AND ORAL Record, April, 1948, and Engel and Brodie PATHOLOGY 1: 790, 1948) have made an excellent contribution demonstrating this point. Becks et al. have shown the influence of endocrine factors and deficiencies on condylar growth Many of those articles appeared in the American Journal of and mandibular development. Orthodontics and Oral Surgery and ORAL SURGERY, ORAL MEDICIXE, AND ORAL PATHOLOGY. K. H. T.
Die Vergesellschaftung der Spaltbildungen des Gesichtes und der Kiefer mit anderen kiirperlichen und geistigen Fehlbildungen. (The Coexistence of Physical and Mental Defects With Clefts of the Face and the Jaws.) J. Gerke. Med. Monatsehr. 2: 470, 1948. The investigation following information:
of the family history of patients affected with clefts resulted in the 376 per cent had additional anomalies of the body or other hereditary
QUARTERLY
REVIEW
OF LITERATURE
the mandible, tongue, maxilla, premaxilla, and upper lip during embryonic development. A double formation resulted. The study of such rare anomalies allows one to draw important conclusions regarding the normal developments of the face. H. R. M.
Harelip
and Palatine Fissure.
med., Buenos
Sires,
(Labio leporino y fisura de1 paladar.)
Hector Marina.
Dia
20: 3041, 1948.
Harelip and palatine fissure are congenital deformities requiring early attention and the greatest therapeutic perfection. For most satisfactory results the general preparation should be meticulous, and full cooperation of both the surgeon and the pediatrician is important. Furthermore, symmetry of the corrected parts should be accomplished with as few operative steps as are expedient. Palatine fissure, when present, should be repaired first. Ether-oxygen intratracheal anesthesia with procaine block is employed and Mirault’s modification of the Blair-Brown operation is the procedure of choice. In patients with bilateral harelip, the author prefers de Veau’s technique because it provides especially for preservation of the skin and mucosa In adults, the Bardeleben operation is considered indispensable. of the median tubercle. With its use, the normal arch of the nose and upper lip is preserved. In the repair of palatine fissure, care must be taken to avoid tension on the sutures. Approximation of the palatine muscles and preservation of the nutrient arteries are believed essential parts of the operation inasmuch as function is equally as important as anatomic reconstruction. T. J. C. Dar
Einfluss der Zahne, des Kauaktes und der Beweglichkeit auf die Entwicklung des Unterkiefers. (The Influence of the Teeth, the Masticatory Act, and the Mobility Ztschr. 4: 95, on the Development of the Jaw.) Peter Adler. Deutsche zahnarztl. 1949.
On the basis of various observations, especially of cases of anodontia and experimental germeetomy in animals, it seems doubtful that the function of mastication has any conIn cases of total stenosis siderable influence on the development of the body of the mandible. of the esophagus and feeding through a stomach fistula, it can be shown that the mandible On the other hand, developmental anomalies of the mandidevelops to normal configuration. ble in cases of ankylosis are proof that the mobility of the mandible influences the development markedly. The presence of teeth influences the growth of the mandible only by the transmission of energy, which is not a growth stimulant in itself. H. R. M. The editor of ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY wishes to point out that mandibular forward growth is due to apposition of cartilage and osseous activity in the head of the mandibular condyle. The foreign authors of the article should consult the American and English literature when writing articles. R,ushton of London has published a very good article on “Some Aspects of Anteroposterior Growth of the Mandible,” Dental (ORAL SURGERY, ORAL MEDICINE, AND ORAL Record, April, 1948, and Engel and Brodie PATHOLOGY 1: 790, 1948) have made an excellent contribution demonstrating this point. Becks et al. have shown the influence of endocrine factors and deficiencies on condylar growth Many of those articles appeared in the American Journal of and mandibular development. Orthodontics and Oral Surgery and ORAL SURGERY, ORAL MEDICIXE, AND ORAL PATHOLOGY. K. H. T.
Die Vergesellschaftung der Spaltbildungen des Gesichtes und der Kiefer mit anderen kiirperlichen und geistigen Fehlbildungen. (The Coexistence of Physical and Mental Defects With Clefts of the Face and the Jaws.) J. Gerke. Med. Monatsehr. 2: 470, 1948. The investigation following information:
of the family history of patients affected with clefts resulted in the 376 per cent had additional anomalies of the body or other hereditary