Plastic surgery; its principles and practice . so far developed. Suture Material.—I prefer very fine waxed silk for the uvula, horse-hair for the soft palate; horsehair, silkworm gut, or fine silver wire forthe hard palate. TECHXIC Preparation of the Field.^—After the patient has been anesthetized,the lips and surrounding tissues should be sponged with ether orbenzine, followed by alcohol. Then, after the gag has been inserted,the operative field should be sponged with ether and painted withone-third strength tincture of iodin. Operation.—After carefully trying most of the methods reported. Id
Plastic surgery; its principles and practice . so far developed. Suture Material.—I prefer very fine waxed silk for the uvula, horse-hair for the soft palate; horsehair, silkworm gut, or fine silver wire forthe hard palate. TECHXIC Preparation of the Field.^—After the patient has been anesthetized,the lips and surrounding tissues should be sponged with ether orbenzine, followed by alcohol. Then, after the gag has been inserted,the operative field should be sponged with ether and painted withone-third strength tincture of iodin. Operation.—After carefully trying most of the methods reported. Ido not feel able to adopt any single technic for closing a cleft in thepalate, but have collected what experience has shown me to be the 284 PLASTIC SURGERY good points in several operations. The combination has proved mostsatisfactory. In separating the mucoperiosteal flap from the hard palate I use themethod described by Berry and Legg. A small incision is made downto the bone, either inside or outside of the posterior palatine artery,. 3 4 Fig. 249.—Method of closing an incomplete cleft of the hard palate associated with acomplete cleft of the soft palate.—i. The short dark line near the alveolar margin shows thepuncture wound through which the mucoperiosteal flap is detached from the hard incision may be lengthened if necessary. This dark line below this shows the situationof the relaxation incision which may be joined to the upper incision. After the flaps havebeen separated on each side and the attachment of the soft to the hard palate divided, thenthe margins of the mucoperiosteal flaps are trimmed as indicated by the dotted line andthe margins of the soft palate split lengthways. 2. The on-end mattress sutures in sutures may be used in both hard and soft palate as shown in 3, or the same suturecan be used to evert both mucous borders in the soft palate, as shown in 4. 3. The on-endmattress suture everting the mucous edges (Blair). 4. The
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
