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They are all surnames of Sicilian origin, Cusimano is very present in the Palermo area, but it also has large stocks in the Agrigentoinmo, Nisseno, Catania and Messina areas, Cusmà, almost unique, is from Messina, Cusmano has a stock in Palermo, one in the Agrigento area, one in the Catania area and one in the Messina area, Cusumano is the most widespread, especially in the Trapani, Agrigento, Palermo, Catania and Messina areas, but still very present throughout the rest of the island, with little presence only in the Enna area, they should all derive from a Latinization (Cosmanus) of the Greek name Kosmas, remember the SS Cosma and Damiano, from Cosmanus we arrived then to Cusmano and then to Cusimano and Cusumano.

Bibliographic source' "L'origine dei cognomi Italianim storia ed etimologia" di E. Rossoni disponibile online su: https://archive.org/

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