Surgical therapeutics and operative technique . ices. Deforming cicatrices should be extirpated throughout their whole thick-ness, taking care to preserve the mucous membrane. 1. Genioplasty by Sliding Displacement—Operation—First Stage.—Complete and exact resection of the ungraceful portion of the cicatrixwhich is capable of being repaired. Second Stage.—Autoplasty by sliding displacement of one or of twosuitable cutaneous flaps. In the section of the cutaneous flaps, care shouldbe taken to avoid division of branches of the facial nerve. 2. Genioplasty by the Italian Method.—When we are conce
Surgical therapeutics and operative technique . ices. Deforming cicatrices should be extirpated throughout their whole thick-ness, taking care to preserve the mucous membrane. 1. Genioplasty by Sliding Displacement—Operation—First Stage.—Complete and exact resection of the ungraceful portion of the cicatrixwhich is capable of being repaired. Second Stage.—Autoplasty by sliding displacement of one or of twosuitable cutaneous flaps. In the section of the cutaneous flaps, care shouldbe taken to avoid division of branches of the facial nerve. 2. Genioplasty by the Italian Method.—When we are concerned with therepair of a cutaneous wound without loss of substance of the mucousmembrane, this operation is carried out with a technique analogous to thatof blepharoplasty. Salivary Fistulce. 1. Fistula of Stenos Duct.—Traumatic fistula of Stenos duct is oftencomplicated with mtermediate salivary cyst, which can be emptied bypressure with the finger. The orifice is usually situated on the buccinatormuscle, in front of the Fig. 83.—-Fistula of Stenos Duct with Salivakt of Extirpation of the Fistula. Operation—-First Stage: Extirpation of the Fistulous Tract.—Theopening of the cutaneous fistulous tract is circumscribed by the curvilinearincisions, and the tract is extirpated throughout its totality. The interstitialsalivary cyst is scraped with the curette, and the extremity of Stenosduct is exposed. 40 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Second Stage : Buccal Opening of StenosDuct.—Two cases are met with: l. The Tenniiial trunk of the Duct is recognized in the Wound.—A bundle of three or four Florentine hairs is introduced into the terminal opening of the canal; the external ends are passed with a curved needle through the
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