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July 1948

CLEFT LIP AND PALATE: Some Technical Procedures Used in Its Treatment, with Especial Reference to Closure of Complete Cleft of the Anterior Half of the Palate

Author Affiliations

From the Section on Laryngology, Oral and Plastic Surgery, Mayo Clinic.

Arch Otolaryngol. 1948;48(1):9-18. doi:10.1001/archotol.1948.00690040016002

IN CONSIDERING the surgical treatment of harelip, Blair1 once said: "... If he learns to use any one of the standard methods the surgeon who essays the correction of nose and lip defects will expend his energy to greater profit than if he attempts to exercise eclecticism or, more dangerous yet, to contrive new methods. It is true that operative skill rather than breadth of acquaintance will bring greater satisfaction to the patient thus afflicted. This statement is made wih no intention of belittling invention or ingenuity but rather to urge that these qualifications be directed, in the case in hand, toward adapting some well tried out plan.

Several interesting comments were made by the discussers of a recent paper by Vaughan.2 One said, "There is no single procedure which will correct every lip (and ... nostril) satisfactorily." Another said, "Each makes his own modifications even if he doesn't realize

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