The surgery of oral diseases and malformations : their diagnosis and treatment / by George Van Ingen Brown.
- Brown, George van Ingen, 1861-1948.
- Date:
- 1912
Licence: In copyright
Credit: The surgery of oral diseases and malformations : their diagnosis and treatment / by George Van Ingen Brown. Source: Wellcome Collection.
746/792 (page 700)
![was as uneducated as the first patient, but with less natural intelligence. Scarcely a single word in her first record could be understood. Later and after much training she was able to recite simple rhymes before large audiences quite well, but she has never acquired good speech. Notwithstanding this deficiency, she can repeat after another person, sentence by sentence, even mo.st difficult combinations of words, with little noticeable speech defect. Case V.—A girl, aged twenty-two years, who had an acquired fissure of the velum, due to hereditary syphilis, was operated on after preparatory administration of potassium iodide, with success- ful results so far as closing the opening was concerned. It was not perfect in the sense that the preceding cases were, because cicatricial contractions, due to previous ulcerative processes, had stiffened the tissue. Notwithstanding the fact that this deformity was acquired at about the age of fourteen years, and the patient’s education was above the average, there was less improvement after operation than in any of the other cases. Case VI.—In contradistinction to these other cases, a little boy, aged nine years, whose congenital cleft in the velum was like' that in Case V, with very imperfect speech, was able to improve so rapidly that between the months of May and November defects were so overcome that his school teacher did not notice unusual difference from other children of the same age. Case Vn.—A girl, aged twenty-two years, fairly well educated, with opening in velum palati alone, in whom speech sounds were very bad before operation, was able, by reason of good ear and singing practice, to improve sufficiently to be able to pray and sing alone at Salvation Army meetings within a few months from time of closure. In this case, undoubtedly, religious zeal helped to overcome self-consciousness, together with other mental and nervous hindrances, while constant attendance on tlie meetings of the Army gave the best possible training to the vocal a])paratus. Case Vin.—A young man, aged eighteen years, had a complete cleft of botli hard and soft palates, lie is a graduate of a high school. Before oi)eration he was almost impossible to understand, yet in repeating the ali)habet uiUKsual ability to pronounce each](https://iiif.wellcomecollection.org/image/b28101789_0746.jp2/full/800%2C/0/default.jpg)
