Oral surgery; a text-book on general surgery and medicine as applied to dentistry . bone segment. The soft palate anduvula segment on this sideare then split along the an-terior surface. The mucousmembrane of the first flapfaces downward, while thatof the second flap faces up-ward, so that raw surface isplaced to raw surface, theflaps being held in positionhx two rows of sutures (fig-ure 163). The roof of themouth is thus converted intoa Xorman arch. In all cases in whichthis operation was done, thespeech (if the patient wasold enough to talk) was im-proved. In order to benefitspeech further,
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . bone segment. The soft palate anduvula segment on this sideare then split along the an-terior surface. The mucousmembrane of the first flapfaces downward, while thatof the second flap faces up-ward, so that raw surface isplaced to raw surface, theflaps being held in positionhx two rows of sutures (fig-ure 163). The roof of themouth is thus converted intoa Xorman arch. In all cases in whichthis operation was done, thespeech (if the patient wasold enough to talk) was im-proved. In order to benefitspeech further, and lessenthe nasal twang, the patientshould either begin to learn another language and forgetthe mother tongue (Ochsner), or be placed in charge of ateacher who has made a special study of this class of cases,one, for instance, who instructs deaf and dumb children.(Owen). Lanelongues Method.—In unilateral cases Lanelongueconstructed a cjuadrilateral-shaped flap proportionateto the dimensions of the gap from the mucous mem-brane of the contiguous surface of the nasal septum. A. Fig. 160.—The Three Steps InClosing the Soft Palate andPractically the Same INIethodOF Closing the Hard Baldwans Operation. OPERATIONS 331 long horizontal and two short perpendicular incisions out-line the flap, which is then detached with a thin periosteo-tome and reflected downward, its base remaining attached
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
