. The Dental cosmos. , b, Showing separation ofthe median palatine suture. tistry (2d edit., 1900, page 698),makes the following reference: Separation of the superior maxilla; at thesymphysis. When strong pressure is appliedupon molars and bicuspids to spread the archthe superior maxillae may be separated at thesymphysis. Such separation was first re-corded by Dr. E. C. Angell of San Franciscoin 1885, and has been noticed by , Talbot, Farrar, Ottolengui, and otherssince. Bogue and other operators with whomI have discussed the subject describedhaving had similar experiences. Dr. F
. The Dental cosmos. , b, Showing separation ofthe median palatine suture. tistry (2d edit., 1900, page 698),makes the following reference: Separation of the superior maxilla; at thesymphysis. When strong pressure is appliedupon molars and bicuspids to spread the archthe superior maxillae may be separated at thesymphysis. Such separation was first re-corded by Dr. E. C. Angell of San Franciscoin 1885, and has been noticed by , Talbot, Farrar, Ottolengui, and otherssince. Bogue and other operators with whomI have discussed the subject describedhaving had similar experiences. Dr. Willis, of TJtica, X. Y., in the Den-tal Cosmos (July 1911, pp. 784-86)gives a very clear description of somecases in which successful results wereobtained through separation of the max- illary bones for patients of Dr. J. of Utica, and Dr. Aarney ofCleveland, Ohio, has also contributedmuch evidence in this direction. In my own early practice I have some-times been quite seriously alarmed by Fig. Another skiagram of the same case as and 14, showing that in addition to theusual indications of separation of the me-dian palatine suture there was a slightseparation between the nasal bones andnasal process of the superior maxillary. having caused it inadvertently. Thefirst case in which I performed thisoperation for the specific purpose of im-mediately increasing the width of thenares in a case of almost total deafness,in order that Dr. Nelson M. Black ofMilwaukee might be able to catheterizethe Eustachian tubes to relieve the oralconditions, has been widely reported, ashave many cases since treated in associa- BKOWN.—QPPBB MAXILLARY CONTRACTION AND BXPAN8ION. 151 tion with rhinologists in widely dif-ferent parts of this country. In fact,so many such results have been pub-lished or otherwise recently reportedthat only a passing notice is practicableat this time. In support of my own belief I offerthe following summarized evidence inproof that it is at
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