Surgical therapeutics and operative technique . Fig. 32.^—Bilateral suturing of the lip lias been completed. Note the perfect symmetry of the nostrils. part of the palatine fissure. The mucous covering of the median tubercleis united on each side to that of the adjacent gum, after vivification of theneighbouring surfaces, and the suture is strengthened by adjustment oftwo dental ligatures. The reparation of the palatine fissure is preferablypostponed till after the sixth year. .• . Commissural Fissure. The reparation of commissural fissure is easy, and is carried out in thefollowi


Surgical therapeutics and operative technique . Fig. 32.^—Bilateral suturing of the lip lias been completed. Note the perfect symmetry of the nostrils. part of the palatine fissure. The mucous covering of the median tubercleis united on each side to that of the adjacent gum, after vivification of theneighbouring surfaces, and the suture is strengthened by adjustment oftwo dental ligatures. The reparation of the palatine fissure is preferablypostponed till after the sixth year. .• . Commissural Fissure. The reparation of commissural fissure is easy, and is carried out in thefollowing way:. Fig. 33.—Fissure of Labial Com-missure. Outline of vivification. Fig. 34.—Fissure of Labial Com-missure. Section of this fissure in the direction ofthe dotted line of Fisf. Operation—First Stage: Vivification.—Oblique section of the lowerborder of the lip, and resection of the exuberant mucous membrane. OPERATIONS ON THE HEAD 15 Second Stage.—Separate reunion, first of the mucous membrane, thenof the skin, followed by suture of the new commissure (Figs. 35 and 36). Fissure of the Lower Lip. Fissure of the lower lip is very rare, and is found only in the middle is repaired in the same way as the commissui-al fissure.


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Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative