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May 13, 1899


Author Affiliations

Professor of Surgery in the Philadelphia Polyclinic, and the Woman's Medical College of Pennsylvania. PHILADELPHIA.

JAMA. 1899;XXXII(19):1020-1023. doi:10.1001/jama.1899.92450460004001a

Much more can be done for the relief of nasal and oral disfigurements than is realized by those who have not given attention to this branch of surgery. The public also is to a large extent unaware of the resources of modern surgery in these disfigurements.

Treatment is very desirable, because the deformity is often conspicuous and a source of great annoyance to the patient and his friends. In many cases this esthetic reason for treatment is, however, subordinate to the necessity of correction in order that proper respiration, proper speech and perfect mastication may be attained. In some conditions, as in complicated harelip, there may be great difficulty in nourishing the child because of the interference with suckling. Mouth-breathing, nasal intonation and imperfect mastication may give rise to mental and physical characteristics, which are often undesirable and which can in many cases be prevented or improved by an early

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