1 Departments of Pediatrics, American University of Beirut Medical Center and Georgetown University Medical Center, Beirut, Lebanon, and Washington, DC
2 Department of Pediatrics, American University of Beirut Medical Center
3 Department of Otolaryngology, American University of Beirut Medical Center
Pediatricians are familiar with congenital cleft palates and those occurring as a part of a multisystem abnormality. We have encountered a child with a cultural "iatrogenic" cleft palate.
The patient is a 5-year-old girl who appeared normal until 4 months of age, at which time she became febrile and had difficulty breathing as a result of an upper respiratory tract infection. She was not attended to by a physician, but a uvulectomy, supposedly to prevent respiratory distress, was performed by a laywoman considered by the villagers to be a "specialist" in the procedure.
Following the uvulectomy, the infant experienced feeding difficulty, choking on solid and liquid foods.
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R. M. McNeal and J. C. Cruickshank Strangulation of the Uvula By Hair Wrapping Clinical Pediatrics, November 1, 1987; 26(11): 599 - 600. [Abstract] [PDF] |
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