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May 9, 1908


JAMA. 1908;L(19):1517-1522. doi:10.1001/jama.1908.25310450027001f

A common deformity the surgeon is called on to correct is hare-lip, and not infrequently hare-lip and cleft palate are combined. While the operation to correct hare-lip is comparatively simple, so far as technic is concerned, much depends on carrying out the few necessary details with great precision and care. In cleft palate the conditions vary so much that it is impossible to make use of any one procedure that has been devised to correct this deformity in all cases. The case must be studied carefully and then the surgeon must decide which operation is the most suitable one to employ.

To make clear a few principles involved in both these operations I shall consider the two conditions separately.


Clinical Varieties.  —The defect may be (1) unilateral; (2) bilateral; (3) median; (4) complicated by cleft palate, single or double; and (5) later, where the fissure extends up to the eye,

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