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      Harvey Cushing's experience with cranial deformity

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          Abstract

          Surgery for cranial deformity was associated with significant surgical morbidity during the early part of the 20th century. For this reason, Harvey Cushing was initially not in favor of surgical treatment of craniosynostosis. Later in his career, Cushing began to operate on these children, although it never became a major focus of his practice. Several examples of his patients with cranial deformity are presented, and his limited role in the development of this field is discussed.

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          PIONEER CRANIECTOMY FOR RELIEF OF MENTAL IMBECILITY DUE TO PREMATURE SUTURAL CLOSURE AND MICROCEPHALUS.

          L Lane (1892)
          Article 0 comments Cited 17 times – based on 0 reviews     Review now
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            History of craniosynostosis surgery and the evolution of minimally invasive endoscopic techniques: the University of Florida experience.

            H Seagle, Kathryn Steele, David Pincus … (2007)
            Craniosynostosis is the premature and abnormal fusion of 1 of the 6 suture lines that form the living skull and can occur as part of a syndrome or as an isolated defect (nonsyndromic). The first reported surgical procedure for correction of craniosynostosis was performed in 1890 by Lannelongue who advocated releasing, but not resecting, the fused suture. Craniofacial surgery has developed its own identity in the last 3 decades, with the Frenchman Tessier seen as the founding father. There have been many new developments such as distraction osteogenesis, biodegradable miniplate fixation, and the development of minimally invasive endoscopic techniques. Through the pioneering work of Jimenez and Barone, minimally invasive approaches to the surgical correction of craniosynostosis are now gaining wider acceptance. Here the authors review the history of craniosynostosis, the current literature and technique for endoscopic repair of craniosynostosis, as well as their own experience at the University of Florida, with minimally invasive endoscope-assisted techniques.
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              Battling blood loss in neurosurgery: Harvey Cushing's embrace of electrosurgery.

              R. Laws, Jaymie Voorhees, Aaron A Cohen Gadol … (2005)
              For his pioneering spirit, definitive work, and unparalleled devotion to conquering neurosurgery's toughest obstacles, Harvey Williams Cushing inarguably has earned the title, "The Father of Neurosurgery." His revolutionary incorporation of electrosurgical techniques in neurosurgery was not exceptional, but part of a pattern of recognizing, embracing, and establishing the use of medical technologies with great potential. Until 1910, Cushing had systematically reduced neurosurgery's primary complications--infection and the effects of intracranial pressure--to decrease mortality rates. Hemostasis had always been a concern of William Halsted's surgical protégé, but only after 1910 could Cushing primarily focus on it. In fact, Cushing's crucial collaboration with William T. Bovie and his electrosurgical apparatus conquered this major obstacle in 1926. The nature of their collaboration--two experts in their respective fields who were passionate about their work, working side by side in the operating room--resulted in progress that surpassed all predecessors in the field. Cushing never did learn the physics behind one of the most important advances of his career. Nonetheless, he did know that by greatly reducing blood loss, electrosurgery allowed him to operate in patients whose tumors had been previously deemed inoperable and on the entire spectrum of neurosurgical patients more safely.
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                Author and article information

                Journal
                Title: Neurosurgical Focus
                Publisher: Journal of Neurosurgery Publishing Group (JNSPG)
                ISSN (Electronic): 1092-0684
                Publication date Created: December 2010
                Publication date (Print): December 2010
                Page: E6
                Article
                DOI: 10.3171/2010.9.FOCUS10191
                SO-VID: 5c46ec96-e786-42d6-a847-3a31ec678880
                Copyright © © 2010
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