. Manual of operative surgery. /s inch above the skin incision. (By suturing the mucosa to the skin ared border is provided for the new lower lip.) Make the skin incision B, Cparallel to the wound made in the excision of the disease. The lower end of thecut B, C, is about a fingers breadth below the lower border of the lower jaw. Inmaking the cuts A, B and B, C do not injure the parotid. Reflect the flap out- NELATON-OMBREDANNE OPERATION 121 lined by the cuts AB, BC; to do this it is necessary to divide the mucosa verti-cally along the the anterior edge of the masseter. Be careful not to divid
. Manual of operative surgery. /s inch above the skin incision. (By suturing the mucosa to the skin ared border is provided for the new lower lip.) Make the skin incision B, Cparallel to the wound made in the excision of the disease. The lower end of thecut B, C, is about a fingers breadth below the lower border of the lower jaw. Inmaking the cuts A, B and B, C do not injure the parotid. Reflect the flap out- NELATON-OMBREDANNE OPERATION 121 lined by the cuts AB, BC; to do this it is necessary to divide the mucosa verti-cally along the the anterior edge of the masseter. Be careful not to divide thefacial artery where it crosses the border of the lower jaw, but separate it, with theflap, from the jaw. Step 3.—Clear away the lymphatics and the submaxillary glands but care-fully preserve the facial artery; if necessary, the facial vein may be sacrificed. ^•^^^ y_ V ^^^^. Fig. 144.—{Nelaton and Omhredanne.) Step 4.—Suture the mucosa to the skin on the upper edge of the flap (seeStep 2) so as to form a red border for the new lower lip (X, A, Figs. 147 and 148). Step 5.—Suture the lower edge of the mucous membrane of the new lip tothe cut edge of the mucous membrane on the lower jaw (L, L, Figs. 147 and 148). ^^^^ j_ V ^^^^
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
