Oral surgery; a text-book on general surgery and medicine as applied to dentistry . and theother end of the wire is caught and drawn back. Both endsof the wire are now at one side of the fissure, and the loopon the opposite side, thus making a mattress suture. Oneafter another the necessary sutures are introduced until allare in place, each being caught by hemostats to prevent en-tanglement of the ends. When all are in place the surfacesare thoroughly freed from blood, then approximation issecured by perforated shot. By the splitting of the softpalate the mattress stitch results in a turning d
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . and theother end of the wire is caught and drawn back. Both endsof the wire are now at one side of the fissure, and the loopon the opposite side, thus making a mattress suture. Oneafter another the necessary sutures are introduced until allare in place, each being caught by hemostats to prevent en-tanglement of the ends. When all are in place the surfacesare thoroughly freed from blood, then approximation issecured by perforated shot. By the splitting of the softpalate the mattress stitch results in a turning dowmwardof the oral mucous membrane, and upward of the nasal,thus securing about one-quarter of an inch of raw surfacein close apposition. Lateral incisions, if necessary, aremade close to the alveolar process on each side to take offthe tension. Stitches are introduced into the tissues correspondingto the hard palate in the same way, except that here thereis no splitting of the flap, but the introduction of the stitches Fig. 156.—Result from Hare LipOperation. 328 CLEFT PALATE. is made in such a way that the edges of the flaps are turneddownward so that a broad surface of apposition is secured. The stitches should beremoved in about ten these cases are undermy control, I operate on thehare lip as soon as the pa-tient is brought to me, pref-erably within a few daysafter birth. Operation ismade on the cleft palatewhen the child is one yearold, so as to have the palaterepaired before the childcommences to talk. The„ ,, ^ older the child the easier the Fig. 157.—Method of Forming and Adjusting Flaps in Cleft-palate palate Operation, DUt the Operations. (Usually practiced by ™p,^p j-ff? i|. f ±i Hiild fo the Author.) Diagram of the hard ^^^re QimCUlt lOr TllC CniiQ 10 palate showing the point at which section is made along the margin of the cleft but within the nasal cavity. Section is made from the anterior margin of the cleft to the posterior margin of the hard
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
