Papers

Finally, my feelings about secondary operations on the palate are as follows: (1) The primary operation should consist of obtaining, by any means whatsoever, a mobile scar-free palate; there should be no attempt to interfere withthe compensatory mechanism, which is as yet an unknown factor and varies from patient to patient. (2) There is no reason to rush into a secondary operation at an early age. (3) There should never be a secondary intervention for pesistent nasal escape until the deee of movement or absence of this has been thoroughly investigated by a modem X-ray screening technique.