Cleft palate and hare-lip should be recti?ed by operation, because both are a serious drawback to feeding in early life – while later, harelip is a great dis?gurement, and the voice may be affected. The lip may be dealt with at any time from the neonatal period to a few weeks, depending on the individual surgeon’s view of when the best result is likely to be achieved. Prior to operation, special techniques may be necessary to ensure adequate feeding such as the use of special teats in formula-fed babies. The closure of a large cleft in the palate is a more formidable operation and is better performed when the face has grown somewhat, perhaps at 6–12 months. The operations performed vary greatly in details, but all consist in paring the edges of the gap and drawing the soft parts together across it.
Further operations may be required over the years to improve the appearance of the nose and lip, to make sure that teeth are even, and to improve speech.
Parents of such children can obtain help and advice from the Cleft Lip and Palate Association (CLAPA).... palate, malformations of
Action. Mild analgesic (forerunner of aspirin), Febrifuge, Anti-inflammatory, Stimulating diuretic (resin), Antiseptic, Circulatory stimulant, Expectorant. Contains salicylates.
Uses: Laryngitis. Chronic bronchitis. Safe for children’s chest troubles. Traditional: for coughs, colds and sore throats. Buds used by North American Indians for muscular and circulatory aches and pains (Dr A. Clapp, 1852).
Side effects. None known.
Preparations: Tea. 2-3 buds to each cup boiling water; infuse 15 minutes. Half-1 cup 3-hourly, acute cases; thrice daily, chronic.
Tincture, BHC (vol 1). 1:5 45 per cent Ethanol, 4-8ml.
Balm of Gilead Cough Mixture (Potter’s). Each 10ml contains Acet. Scill. BP 0.339ml; Acetic acid (5.5 per cent) extractive from Lobelia (1-12.5) 0.148ml; Ipecac Liquid extract BP 0.004ml; 30 per cent alcoholic extractive (1:1) from each of 100mg Balm of Gilead buds and 200mg Lungwort lichen in a sweetened flavoured vehicle. ... balm of gilead