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William H. G. Logan and His Bow.

Monica Manrique1, Justin R Bryant1, Elizabeth Benitez1

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Summary

The Logan Bow, a cleft lip repair device, has seen no design changes in nearly 100 years. Objective evidence on its benefits and risks remains limited, despite its common use in cleft lip management.

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Plastic Surgery
  • Medical Device History

Background:

  • The Logan Bow is a widely used external device for cleft lip management.
  • It aims to maintain apposition and reduce strain after cheiloplasty.
  • No significant design modifications have occurred since its 1920s introduction.

Purpose of the Study:

  • To present a historical overview of W. H. G. Logan, the inventor.
  • To detail the initial description and design of the Logan Bow.
  • To explore the current applications of this external device in cleft lip care.

Main Methods:

  • Historical manuscript review.
  • Biographical research on W. H. G. Logan.
  • Analysis of the Logan Bow's design and application.

Main Results:

  • The Logan Bow's design has remained consistent for nearly a century.
  • Objective evidence supporting its benefits and risks is scarce.
  • The device continues to be a common tool in cleft lip management.

Conclusions:

  • The Logan Bow is a historically significant device in cleft lip repair.
  • Further research is needed to objectively evaluate its efficacy and safety.
  • Understanding its historical context is crucial for current practice.