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Dr. Vaughan's book is based on many years of teaching and operating. Many postgraduate students, looking for a short cut, found the information on this subject of cleft lip and palate so voluminous that it was inaccessible in the time they had to give to it. Therefore Dr. Vaughan epitomized the literature, adding to it much from his own rich store and describing in detail his own modifications of the technic of other surgeons. At the end of each chapter there is a bibliography pertinent to the particular division of the work.
The author suggests that the operation should not be performed under 18 months, the most favorable age being between the second and third year. At 5 or 6 a child is more cooperative and can be taught the use of various devices to improve speech. There is no need to wait for speech perfection before doing the operation,
Congenital Cleft Lip, Cleft Palate and Associated Nasal Deformities. JAMA. 1940;114(18):1830. doi:10.1001/jama.1940.02810180106029
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