PEDIATRICS Vol. 78 No. 3 September 1986, pp. 511
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Cultural "latrogenic" Cleft Palate

AMIN Y. BARAKAT MD1, USAMA ITANI MD2, and GEORGE M. ZAYTOUN MD3

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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[Abstract] [PDF]