Primary veloplasty: long-term results without maxillary deformity. a twenty-five year report.

Primary veloplasty during the first year of life enables normal growth of the upper jaw and of the facial skeleton in patients with clefts. In spite of the remaining cleft in the hard palate, intelligible speech can be learned. The closure of the residual cleft of the hard palate is generally postponed until the age of 12 to 14 years, when the normal growth of the jaw is virtually completed. This method has been used in the clinic by the author and his father for thirty years. The results after primary veloplasty for some hundred adult patients show normal maxillary and cranial growth both clinically and radiologically. Primary veloplasty operations constitute acceptable restorative surgical treatment of the maxilla. Various problems of timing and methods of cleft palate treatment are discussed. The author's cases are summarized.

[Bilateral retro- and subauricular fistulae with eversion of the epithelial lining (author's transl)]. / Doppelseitige retro- und subaurikuläre Fisteln mit Ektropium des Fistelgangepithels.

An infant with multiple congenital anomalies was observed: bilateral cleft lip and palate, left cystic kidney, bilateral retroauricular fistulae with ectropion of the epithelial lining. These fistulae ended in tissue of thymus. They are derived from the ductus thymopharyngicus. In this case a large ectropion was constated on both sides, which was in this form not described before. The early case history, the therapy and the rare histological findings are described and the up to date unknown abnormality with figures represented.

[Excessive auricular keloid after correction of a protruding ear (author's transl)]. / Exzessive Keloidbildung nach operativer Korrektur eines Klappohres

Report of a large auricular keloid after a correction of a protruding ear. Healing by excision and dermatoplasty.

Nasal abnormalities in facial clefts.

After a short review of their development rare clefts of the nose occurring together with facial clefts are described in a number of clinical cases. These may be divided into 6 groups: 1. clefts of the nose; 2. oblique facial clefts; 3. nasal abnormalities in cleft lip and palate cases; 4. nasal abnormalities in median cleft palate cases; 5. aplasia of the premaxilla; 6. syndromes associated with nasal abnormalities and facial clefts. The discussion deals with the literature, aetiology, prognosis and therapeutic aspects. The publication of individual rare cases is suggested.