. Modern surgery, general and operative. Fig. 672.—Grants method for removal Fig. 673.—Grants method for removaJ of carcinoma of the lower lip. The of carcinoma of the lower lip. Second step,incision. The mass removed. by flaps. An incision is made on each side from each inferior angle of thewound, obliquely downward and backward beneath the maxilla, on a lineabout midway between the angle of that bone and the apex of the chin (). Its further extension is determined by the amount of lip removed andby the degree of glandular involvement. The submaxillary lymph-glands are removed through
. Modern surgery, general and operative. Fig. 672.—Grants method for removal Fig. 673.—Grants method for removaJ of carcinoma of the lower lip. The of carcinoma of the lower lip. Second step,incision. The mass removed. by flaps. An incision is made on each side from each inferior angle of thewound, obliquely downward and backward beneath the maxilla, on a lineabout midway between the angle of that bone and the apex of the chin (). Its further extension is determined by the amount of lip removed andby the degree of glandular involvement. The submaxillary lymph-glands are removed through these glands in the midline, however, beneath the chin may require a separateincision. If the lip is extensively involved, the cheek ought to be completelyseparated from the inferior maxillary bone to the middle of the masseter mus-cle (Fig. 674). When the glands have been removed, the triangular flaps arebrought together and united, first of all, in the middle line (Fig. 675). If thetension is marked, owing to the amo
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