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February 7, 1914


JAMA. 1914;LXII(6):451. doi:10.1001/jama.1914.02560310029014

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In May, 1912, the patient, A. F., a girl aged about 11, came to the service of Drs. Blanchard and Parker at the Home for Destitute Crippled Children, for the correction of a peculiar deformity involving principally the skin on both sides of the neck. The deformity is well illustrated in Figure 1, and consisted of two symmetrical wing-like folds of skin extending from either mastoid region to the top of the shoulder. These wings had always existed to some extent and changed very little in appearance with muscular contraction. They interfered somewhat with the movements of the head, but it was more on account of the deformity that their removal was sought. The redundant fold of skin was removed by an incision extending from the mastoid to the outer end of the clavicle on either side of the fold leaving an elliptical wound which, when closed, made a more

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