A 329 Sue Seif, MA, and A. Lee Delion, MD Tur
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P OCTOBER 1978 VOLUME 15, NUMBER 4 _ TABLE OF CONTENTS Tigers anp ELEPHANTS: An Appreciation or Crantoraciat Team Teacumc-An Invitep EDITORIAL 301 Edward Clifford, Ph.D. SYNDROMES WITH CiEFT Lip anp PauaAtE 306 M. Michael Cohen, Jr., D.M.D. Anatomic RerationsHips BeEtwrEn tHE Human Levator anp Trensor VEut PaALATINI AND THE EuvstacHi1an TusBE A 329 Sue Seif, M.A., and A. Lee Delion, M.D. Tur Lonatrtupinat FiromuscuLar ComponEnt or tur Sort ParaTE in tuE FirtEEN- Werx Human Frtus: Muscuuus Uvurar anp PALATINE RarnuE 337 Herbert L. Langdon, Ph.D. and Kathleen Klueber, M.S. ANATOMICAL CHARACTERISTICS or Paratocrossus anp T'uE® AnTERIOR FaveIaL PILLAR 349 + David P. Kuehn, Ph.D. and Nabil A. Azzam, Ph.D. Parents anp Tracers: Dirrering Views or Benavior or CLErT PaALATE CHILDREN 360 Lynn C. Richman, Ph.D. An Unusuar Case or Maotan Lip wirn Orsitar HyportEmrorism-A Missing Link In Tur CrassIFICATION 365 N. Ben-Hur, M.D., F.A.C.S8., H. Ashur, M.D. and M. Musseri, M.D. CRANIOFACIAL AND Dentar Stupy or Murisrey NaAnNIsM 369 Sinikka Myllarniemi, D. Odont., Kalevi Koski, D. Odont. and Jaakko Perheentupa, M.D. Vitamin A Inpuction or CLErt PaALATE 378 Carol A. Lorente, Ph.D. and Sanford A. Miller, Ph. D. BmraTERAL FEmorart DysoaErnEsts SynprRomE: A Case Report 386 Rosalie B. Goldberg, M.S., Bernard Fish, M.D., M. Michael Cohen, Jr., D.M.D. and Robert J. Shprintzen, Ph.D. IncompLETE EEC SynNpromEr In A Patient wirn Mosarc Monosomy 21-CLiNIcAL - CONFERENCE 390 Mehdi Jamehdor, M.D., Nagamani Beligere, M.D., Celia I. Kaye, M.D., Ph.D., Samuel Pruzansky, D.D.S. and Ira Rosenthal, M.D. Tur VomErro-PREMAXILLARY SuturRE-A NEciEctEp Growtn Sre in Mim-Factar De- VELOPMENT oF UniraTERAL CiEFT Lip anp ParaTE PATIENTS 398 Hans Friede, Odont. Dr. Earivy OrtHopreEorcs In CLP Cases: GuipELINn®Es FOR SURGERY 405 Margaret M. Hotz, M.D., D.M.D., Wanda M. Gnoinski, D.M.D., Heidi Nussbaumer, Clinical Speech-Pathologist and Emma Kistler, Clinical Speech-Pathologist OsBrtruary-Herbert Kurtz Cooper, Sr. .. lla aaa a ea re eae e eee e es 412 BOOK REVIEWS .la a a a a a a a a a e e e e e e e e e e a a aa a a aa a a a a aa a 415 pepo 418 ANNOUNCEMENTS .... ...... l l l l l l a a a a a a a a a a a a a a a a e a a a a a e e ee ea aa a a a a a a a a aa aaa 421 AMERICAN CLEFT PALATE ASSOCIATION 1978-1979 OFFICERS President ...ll klk kkk} R. Bruce Ross, D.D.S., M.Sc., Toronto, Canada President Elect ..... Ralph L. Shelton, Jr., Ph.D., Tucson, Arizona Past President ........................ John Q. Owsley, Jr., M.D., San Francisco, California Vice President ....................... William S. Garrett, Jr., M.D., Pittsburgh, Pennsylvania Vice President Elect .......................... Duane R. Van Demark, Ph.D., lowa City, lowa SeCretary ... kkk aka k kk k k ee ak ake es David R. Dickson, Ph.D., Miami, Florida Treasurer .. kk. ...} Sylvan E. Stool, M.D., Pittsburgh, Pennsylvania ECiItOr ............ lll ees Betty Jane McWilliams, Ph.D., Pittsburgh, Pennsylvania Historian and Editor of Newsletter ......................... Charlotte G. Wells, Ph.D., Columbia, Missouri COUNCIL MEMBERS The above officers and Leslie H. Holve, M.D. (1979) .. lvl v k e eee ees Santa Monica, California Richard P. Jobe, M.D. (1979) .. lla vv av ee r e e ee ee kee ees Los Altos, California George J. Chierici, D.D.S. (1980) .. .................. ...ll s San Francisco, California Sally J. Peterson-Falzone, Ph.D. (1980) . ................... .l s e s Chicago, Illinois Donnell F. Johns, Ph.D. (1981) . ...ll a a e ee e e e a k ea e a k ek ea k e es Dallas, Texas Hermine Pashayan, M.D. (1981) . ... ................ .ll e ees Boston, Massachusetts Samuel Berkowitz, D.D.S., M.S., Ex Officio . ...... ...... lu lu l a l l l l e e s Miami, Florida _ Donna R. Fox, Ph.D., Ex OfficIO ................. vv v aa kk a k k eek e ea k ek e ees Houston, Texas ADMINISTRATIVE SECRETARY Mrs. Flora P. Berk 331 Salk Hall University of Pittsburgh Pittsburgh, Pennsylvania 15261 Telephone: 412-681-9620 GENERAL INFORMATION The Cleft Palate Journal is a quarterly publication of the American Cleft Palate Association. It appears in January, April, July, and October and is printed by Waverly Press, Inc., Mt. Royal and Guilford Avenues, Baltimore, Maryland 21202. Second Class postage is paid at Pittsburgh, Pennsylvania, and at additional mailing offices. {> ' » ' Manuscripts and related correspondence should be addressed to Betty Jane McWilliams, Ph.D., Editor, Cleft Palate Journal, Cleft Palate Center, University of Pittsburgh, Pittsburgh, Pennsylvania 15261. More detailed "Information to Contributors'" will be found inside the back cover. Subscription rates, effective January, 1977, are $35.00 per calendar year both in the United States and abroad. Single copies are available at $9.00 per issue. Subscriptions, orders for back copies, and business correspondence should be addressed to Mrs. Flora P. Berk, Administrative Secretary, American Cleft Palate Association, 331 Salk Hall, University of Pittsburgh, Pittsburgh, Pennsylvania 15261. Address changes should be sent to the Administrative Secretary at least one month prior to the change. Subscribers and ACPA members must notify the Post Office that they will guarantee postage for the forwarding of undelivered copies. Other claims for undelivered copies must be filed within one month of the expiration of the subscription year. The CLEFT PALATE Journal EDITOR BETTY JANE McWILLIAMS, Ph.D. Cleft Palate Center University of Pittsburgh __ Pittsburgh, Pennsylvania 15261 EDITORIAL ASSISTANTS PRESTON A. WILSON HELEN BAUM STATISTICAL FLOYD H. TAYLOR, Sc.D. Pittsburgh, Pennsylvania CONSULTANT SECTION EDITORS Anatomy and Embryology ALPHONSE R. BURDI, Ph.D., Ann Arbor, Michigan Basic Science DAVID R. DICKSON, Ph.D., Miami, Florida Clinical Genetics and HERMINE PASHAYAN, M.D., Boston, Massachusetts Pediatrics Dentistry HOWARD ADUSS, D.D.S., Chicago, Illinois Otolaryngology CECIL W. HART, M.0O., Chicago, Illinois Plastic Surgery: WILLIAM C. TRIER, M.D., Tucson, Arizona Radiology M. LEON SKOLNICK, M.D., Pittsburgh, Pennsylvania Speech and Behavioral DUANE R. VAN DEMARK, Ph.D., lowa City, lowa Sciences Teratology JOSEF WARKANY, M.D., Cincinnati, Ohio Clinical Conferences SAMUEL PRUZANSKY, D.D.S., Chicago, Illinois Book Reviews JEANETTE K. LAGUAITE, Ph.D., New Orleans, Louisiana R. BRUCE ROSS, D.D.S., Toronto, Ontario, Canada Abstracts BARD COSMAN, M.D., New York, New York The Cleft Palate Journal is an international publication designed to reflect research and clinical activities in the many fields concerned with the study and treatment of cleft lip and cleft palate, other craniofacial anomalies, and related problems. Changes of address and subscription orders may be placed with: American Cleft Palate Association, Mrs. Flora P. Berk, Administrative Secretary, University of Pittsburgh, Pennsylvania 15261. Manuscripts and correspondence should be submitted to the editor Copyright © 1978 The American Cleft Palate Association Published quarterly by the American Cleft Palate Association Printed by Waverly Press, Inc., Mt. Royal & Guilford Avenues, Baltimore, Maryland 21202 Subscription rate: $35.00 per volume, $9.00 per issue Second class postage paid at Pittsburgh, Pa. and at additional mailing offices EDITORIAL CONSULTANTS . for Volume 15 January to October, 1978 of the CLEFT PALATE JOURNAL Howard Aduss, D.D.S. Celia Kaye, M.D., Ph.D. Dr. Michael Apfel Charles R. Kremenak, D.D.S. William J. Babler, Ph.D. David P. Kuehn, Ph.D. Rolf G. Behrents, D.D.S. Ralph A. Latham, Ph.D. Samuel! Berkowitz, D.D .S. Michael L. Lewin, M.D. Hal G. Bingham, M.D. John H. Lillie, D.D.S., Ph.D. David Bixler, D.D.S., Ph.D. Verner V. Lindgren, M.D. Harlan H. Bloomer, Ph.D. Mary B. Mann, Ph.D. David G. Bowers, Jr., M.D. Susan L. McMillan, Ph.D. Helen T. Brantley, Ph.D. Karlind T. Moller, Ph.D. Dr. Gary Brigham Hughlett L. Morris, Ph.D. Linda L. Brinkley, Ph.D. James F. Mulick, D.D.S. T. Ray Broadbent, M.D. John B. Mulliken, M.D. Robert Brown, M.D. J. Douglass Noll, Ph.D. Alphonse R. Burdi, Ph.D. William H. Olin, D.D.S. Patrick J. Carney, Ph.D. Robert W. Parsons, M.D. Mary Ann Carpenter, Ph.D. Eugene V. Perrin, M.D. Walter A. Castelli, D.D.S. Calvin R. Peters, M.D. Edward Clifford, Ph.D. Sally Peterson-Falzone, Ph.D. M. Michael Cohen, Jr., D.D.S., Ph.D. Ronald W. Pigott, F.R.C.S. Richard M. Cole, Ph.D. Irving M. Polayes, M.D. Lester M. Cramer, M.D. William H. Porterfield, M.D. David R. Dickson, Ph.D. Samuel Pruzansky, D.D.S. James P. Dworkin, Ph.D. Peter Randall, M.D. Milton T. Edgerton, M.D. Lynn C. Richman, Ph.D. Robert P. Erickson, M.D. Stewart R. Rood, Ph.D. Murray Feingold, M.D. Henry P. Royster, M.D. Jack C. Fisher, M.D. Laurence H. Rubin, D.D.S. Leonard S. Fishman, D.D.S. Kenneth E. Salyer, M.D. F. Clarke Fraser, M.D. Robert J. Shprintzen, Ph.D. Ruedi P. Gingrass, M.D. Ilene C. Siegler, Ph.D. Lee W. Graber, D.D.S. Jeanne K. Smith Hugh N. Hazentfield, M.D. Lewis W. Thompson, M.D. Dr. Martin Hirsch Allan E. Trevaskis, M.D. V. Michael Hogan, M.D. William C. Trier, M.D. Sidney L. Horowitz, D.D.S. Gabriel F. Tucker, Jr., M.D. Ted Huang, M.D. Donald W. Warren, D.D.S., Ph.D. Donnell F. Johns, Ph.D.