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October 25, 1890

CURE OF CLEFT PALATE BY A DOUBLE FLAP OPERATION AND CLOSURE WITH THE BURIED TENDON SUTURE.Read in the Section of Dental and Oral Surgery, at the Forty-first Annual Meeting of the American Medical Association, at Nashville, Tenn., May, 1890.

Author Affiliations


JAMA. 1890;XV(17):593-595. doi:10.1001/jama.1890.02410430001001

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Nearly all surgical operations have had their distinctive modifications, with surprising gain in the result, based upon the knowledge of the rôle of bacteria in wounds. In large measure, how ever, the surgery of the mouth, the throat, and the nasal passages, has proved an exception, since all wounds of these tissues, as ordinarily treated, must be looked upon as extremely liable to be come infected from the ever-present bacteria, existing normally in the mucous secretions of the tract, and necessarily conveyed to it in respiration and in the taking of food.

Dentistry, as an art, may be said to have commenced with the present generation; as a science, within the last few years; since by the labors of Miller, Nelson, Andrews, and others, the demonstration is ample that dental decay is dependent upon bacterial development within the structures of the teeth. All scientific observers now agree that the preservation

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