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August 12, 1893

AN ORIGINAL METHOD OF RESTORING THE ALVEOLAR ARCH IN ANTERIOR CLEFT OF THE HARD PALATE AND OF CORRECTING THE DEFORMITY OF THE ALA NASI IN HARE-LIP.Read in the Section of Surgery and Anatomy, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(7):236-237. doi:10.1001/jama.1893.02420590022002a

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The operation I desire to submit to your consideration is intended more perfectly to correct the deformity of the lip, and more particularly of the nose, in anterior cleft of the palate and alveolar arch.

It is a common experience that after plastic work on the soft parts in cases of complete hare-lip and cleft palate, which brings the lip into satisfactory position, the ala nasi of the affected side still remains misshapen, flat and sunken. The ala nasi rests normally upon the nasal margins of the superior maxilla.

If the maxillæ are normal, and the alveolar arch in front complete, each ala nasi rests upon a bony surface and foundation on the same plane, and the two are naturally symmetrical. If one is deficient, the nostril of that side sinks down and out of line just as the corner of a house sags when the underpinning is not high

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