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Cleft Lip–Cleft Palate Closure: The Unknown Contributions of Harvey Cushing

Dorafshar, Amir H. M.B.Ch.B.; Pendleton, Courtney B.S.; Quinones-Hinojosa, Alfredo M.D.; Redett, Richard J. M.D.

Plastic and Reconstructive Surgery: October 2010 - Volume 126 - Issue 4 - p 1320-1324
doi: 10.1097/PRS.0b013e3181ead168
Pediatric/Craniofacial: Special Topic

Background: The development of surgical repair of cleft lip–cleft palate closure has been well documented in the literature. However, the contributions of an unlikely pioneer, Harvey Cushing, in the development of cleft lip–cleft palate closure have been to date unknown.

Methods: Patient surgical records from 1896 to 1912 at The Johns Hopkins Hospital documenting Harvey Cushing's cases were reviewed.

Results: Three cases of Cushing's surgical closure of cleft lip–cleft palate, using a variety of techniques, are described and placed into historical context in the development of cleft lip–cleft palate surgery.

Conclusions: Harvey Cushing's contributions to the field of plastic and reconstructive surgery have largely remained unknown. The cases reported here illustrate the early work of this pioneering surgeon in the area of cleft lip–cleft palate surgery.

Baltimore, Md.

From the Division of Plastic and Reconstructive Surgery and the Department of Neurosurgery, The Johns Hopkins Medical Institute.

Received for publication February 27, 2010; accepted April 7, 2010.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Richard J. Redett, M.D., Division of Plastic and Reconstructive Surgery, The Johns Hopkins Medical Institute, 601 North Caroline Street, 8152C, Baltimore, Md. 21287,

©2010American Society of Plastic Surgeons