Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Fig. 150.—Fillebrowns Hoe. Instruments for Cleft Palate Operation.—The followingis a list of instruments required:Hemostats and sponge holders. Staphylorrhaphy bistouries, Langenbeck or fixation forceps, curved and , straight, curved and right Needles, small curved. Needles on handles, eye at end (see figure 165).Hook and eye (see figure 166).Wire cutter and periosteal elevators (3 sizes and angles). 322 CLEFT PALATE Mouth gag
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Fig. 150.—Fillebrowns Hoe. Instruments for Cleft Palate Operation.—The followingis a list of instruments required:Hemostats and sponge holders. Staphylorrhaphy bistouries, Langenbeck or fixation forceps, curved and , straight, curved and right Needles, small curved. Needles on handles, eye at end (see figure 165).Hook and eye (see figure 166).Wire cutter and periosteal elevators (3 sizes and angles). 322 CLEFT PALATE Mouth gag (see Rose position). Suture material: horsehair, catgut, silkworm gut, silk,silver wire, iron wire (soft enameled copper wire—Bald-win). Lead or aluminum plates. Varieties.—Operations for defects of the roof of themouth may be divided as follows:.. Fig. 151.—Cleft Alveolar Process. (1) Uranoplasty, or upon the soft palate. (2) For cleft alveolar process. (3) For complete defects of the hard palate. (4) For unilateral cleft palate. (1) Uranoplasty.—Under the first head, where the de-fect does not reach the hard palate, two methods of opera-tion are practiced: (a) The margin of the tissue may be OPERATIONS 323 split from apex of cleft to the tip of the uvula. The supe-rior and inferior flaps readily unfold, leaving sufficientraw surface for adjustment, (b) The edges may be paredby using a Langenbeck or Goodwillie bistoury. Suturing may be done with horsehair, silkworm gut, or30-day chromicized catgut. Eepair usually follows when
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
