. Operative surgery. o unite the cleft. The tensor- andlevator-palati muscles, together with the palato-glossi and palato-pharyngei,are the ones that exercise contractile influence on the part, and if they beproperly severed the velum Mill remain motionless and flaccid. The accom-panying illustration shovvs theirrelations to the important con-tiguous tissues (Fig. 797). The palato-pharyngei musclescan be cut with a pair of blunt-pointed scissors, by dividing theposterior pillars of the fauces, ofwhich they form the principalpart. The palato-glossi muscles,comprising the anterior pillars,may be
. Operative surgery. o unite the cleft. The tensor- andlevator-palati muscles, together with the palato-glossi and palato-pharyngei,are the ones that exercise contractile influence on the part, and if they beproperly severed the velum Mill remain motionless and flaccid. The accom-panying illustration shovvs theirrelations to the important con-tiguous tissues (Fig. 797). The palato-pharyngei musclescan be cut with a pair of blunt-pointed scissors, by dividing theposterior pillars of the fauces, ofwhich they form the principalpart. The palato-glossi muscles,comprising the anterior pillars,may be cut in a similar remaining muscles, after firstpassing a silken thread throughthe velum on each side of thecleft at points corresponding tothe origin of the uvula, loo^Dingthe extremities of the threads andmaking the velum tense with a te-naculum (Fig. 794, h), are divided. The Tensor Palati.—Eecognizethe hamular process around whichthe tendon of the tensor palati runsto the upper posterior molar FiCt. 797.—Muscles of Uieof division of muscles,c. Palatine vessels. iolt palate, a. Lineb. Line of incision. it is located a little behind and internalMake tense that segment of the velum bythe traction suture just introduced, and enter the point of a narrow-bladedknife (Fig. 794, a and h) a little below and at the inner side of the processwith the edge upward; carry it upward, backward, and inward, until the pointis seen through the gap; this divides almost the entire width of the velum,with the main, if not the entire, portion of the tendon of the tensor palati. The Levator Palati.—Many of the lowermost fibers of this muscle will becut in the division of the preceding one. If a greater section be required,depress the handle of the knife and carry it outward, so as to make anoblique incision on the posterior surface of the velum as it is withdrawn. The Remarls.—It is well to allow two or three days to elapse afterdivision of the muscles before attempting t
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