On the treatment of congenital cleft palate / by R. Ramsay.

  • Ramsay, Robert.
Date:
[1865]
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of congenital cleft palate / by R. Ramsay. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    as there are many little points in the use of plaster, a knowledge of which can only be acquired by actual practice. Two of these are—the proper moment to place the impression-cup in the mouth, and the exact time to remove it. In all cases these points are most important; but in taking impressions of congenital cleft palate, it is ab- solutely necessary that the operator should have this judgment. Another great point to be able to judge, is the exact quantity of plaster necessary; for if there be too little, the result will be an imperfect impression; and if there be the slightest excess, it will be sure to overflow. In the latter case, if the smallest quantity should drop into the pharynx, or should get into either chamber of the fauces, the operator will not only have his im- pression destroyed, but get into such trouble, and put his patient to such inconvenience, that both will become nervous ; and should this occur, it will take the operator some time before he can regain the confidence of his patient sufficiently to get him to submit to another trial. I may here remark, that so long as the ope- rations are confined to the superior parts of the mouth, in a little time they may be freely mani- pulated, even as far back as the posterior wall of the pharynx, and this without the slightest inconvenience to the patient. But the moment anything touches the inferior parts, retching is