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August 29, 1891


JAMA. 1891;XVII(9):347-348. doi:10.1001/jama.1891.02410870031002

At the meeting of the Association last May, Keen, of Philadelphia, read a paper on this subject, which appeared in a recent number of The Journal. Dr. Keen very properly objects to the term craniectomy, originally proposed by Lannelongue, and suggests instead linear craniotomy. The operation consists essentially of an incision through the cranium, usually parallel to the sagittal suture, but not necessarily so. Keen reports eight cases, three of which he operated, two by Lannelongue, and one each by Gerster and Sachs, Wyeth, and McClintock. Gerster and Sach's case and one of Keen's died shortly after the operation. In Wyeth's case the operation was quite different from that ordinarily done. He made two incisions through the skull, ¾ of an inch apart, and extending from a point just above the eyes to the occipital protuberance. Lateral incisions were then made at each end of these incisions, and also in