. Manual of operative surgery. Fig. 277.—{Croiise, ^arg., Gyn. & Ubsl.). Fig. 278.—{Crouse, Surg., Gyn. b Ohsl.) l8o PAROTID GLAND Step 2.—Grasp the lip, turn the cheek out and reflect a flap of mucosa, about]/i inch wide and thick enough (^g ) to be reHably viable, beginning nearthe vermilion line of the upper lip and running back to slightly behind thelevel of the second upper molar. The pedicle of this flap is posterior. Step 3.—Introduce a curved hemostat through the external incision on thecheek and pass it forwards hugging the surface of the masseter and force it intothe mouth just i
. Manual of operative surgery. Fig. 277.—{Croiise, ^arg., Gyn. & Ubsl.). Fig. 278.—{Crouse, Surg., Gyn. b Ohsl.) l8o PAROTID GLAND Step 2.—Grasp the lip, turn the cheek out and reflect a flap of mucosa, about]/i inch wide and thick enough (^g ) to be reHably viable, beginning nearthe vermilion line of the upper lip and running back to slightly behind thelevel of the second upper molar. The pedicle of this flap is posterior. Step 3.—Introduce a curved hemostat through the external incision on thecheek and pass it forwards hugging the surface of the masseter and force it intothe mouth just in front of the pedicle of the intra-oral flap (Fig. 277). Open theforceps and dilate the tunnel. Grasp the end of the flap in the forceps and pullit through the tunnel. Pass a No. o chromic gut suture in the Lembert fashionthrough the mucous surface of the flap near its free end (Fig. 278) and throughthe posterior edge of the incision in the parotid fascia. Tie the suture but leaveits ends long. Pass a fine forceps from the external wound through the tunnelinto
Size: 1436px × 1740px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
