Surgical therapeutics and operative technique . 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
Surgical therapeutics and operative technique . 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. Fig. 84.—Reunion of the Two Segments of Stenos Duct by a Loop of Florentine Hairs The Janterior head passes through the terminal segment of the duct, while the pos-terior head passes through the inner wall of the central segment of the duct andthe tissues of the cheek. Beneath is seen a section of Stenos duct, containing abundle of four Florentine hairs, which secure drainage by capillarity. internal wall of the central end of the canal; then into the buccal cavity,where the two ends of the bundle of hairs are tied over the mucous skin is then reunited with points of interrupted suture (Fig. 83). Thebundle of Florentine hairs is left in place for ten to fifteen days, and is notto be removed till after complete cicatrization of the cutaneous wound.
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Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative
