Lectures on the operations of surgery : and on diseases and accidents requiring operations . rregularity, would have materially interfered with the proper ad-justment of the flaps, and, besides, by their sharpness, possiblycaused ulceration and sloughing of the tissues forced against them,I proceeded to detach the integuments by which the opening in thecheek was surrounded. The edge of the scalpel was directedtowards the bone, and the incisions carried sufficiently far to allowthe margins of the wound to be approximated to a considerabledegree. This callous margin, formed of the inodular tissu
Lectures on the operations of surgery : and on diseases and accidents requiring operations . rregularity, would have materially interfered with the proper ad-justment of the flaps, and, besides, by their sharpness, possiblycaused ulceration and sloughing of the tissues forced against them,I proceeded to detach the integuments by which the opening in thecheek was surrounded. The edge of the scalpel was directedtowards the bone, and the incisions carried sufficiently far to allowthe margins of the wound to be approximated to a considerabledegree. This callous margin, formed of the inodular tissue,was then carefully pared off with a bistoury, in order to obtain, ifpossible, union by the first intention between the edges of theflaps. An effort was then made to close the wound by sliding thedetached integuments, from all sides, towards the centre, but theyrefused to yield, and it became necessary to make the incisions ULCERS OF THE CHEEK. 245 indicated by the dotted lines in fig. 99. By these incisions fourJiaps were formed, and detaching them carefully from the subjacent Fig. parts, we found no difficulty in uniting them at a line which in-dicated the longest diameter of the opening. The twisted suturewas employed, and the wound presented, after their introduction,the appearance exhibited in fig. 100. To support the whole, one Fig. 100.
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