Surgical therapeutics and operative technique . to the corresponding decollation is prolonged as far as possible in front, taking care not totear the anterior median pedicle which insures the vitality of the flaps oneither side. Third Stage : Vivification.—We vivify the edges of the perforation byfolding, after making two small longitudinal incisions, in front and behind,for the purpose of facilitating the coaptation (see Figs. 194 and 195). Fourth Stage : Suture.—Suture is carried out with small curved needles,and needle-holder with eccentric plate, taking care to turn downwards the
Surgical therapeutics and operative technique . to the corresponding decollation is prolonged as far as possible in front, taking care not totear the anterior median pedicle which insures the vitality of the flaps oneither side. Third Stage : Vivification.—We vivify the edges of the perforation byfolding, after making two small longitudinal incisions, in front and behind,for the purpose of facilitating the coaptation (see Figs. 194 and 195). Fourth Stage : Suture.—Suture is carried out with small curved needles,and needle-holder with eccentric plate, taking care to turn downwards the 100 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE margin of each flap, and to insure the meeting over a range of 4 to 5 milli-metres (Fig. 195). Jiixta-Alveolar Perforation.—If autoplasty by folding is impossible,we can secure the closure of the orifice by sliding displacement of a rectan-gular mucous flap, which is cut out tangentially to the orifice. Or, again,we can, after the example of Delorme, fix to the margins of the perforation. Fig. —Instruments for Staphylorrhaphy and Uranoplasty. Below, from right to left: Two bistouries; two mouse-toothed, forceps; two straightscissors ; four short-jawed artery forceps; two ring-handled forceps with ovaljaws; four ring-handled forceps with nine oblique teeth; four large curved above: Two clawed forceps with curved jaws; two Trelats raspatories, rightand left; three small raspatories for staphylorrhaphy; five authors angiilarbistouries for vivification; two needle-holder forceps with eccentric jaws ; sixsmall needle-holder forceps with short jaws; assorted needles. In highest row :One small cutting spatula; two raspatories, straight and curved; one curette;one gag; two retractors for the labial commissures; one needJe, mounted; twoforceps with eccentric jaws. [Reduced to one-sixth.] a pedunculated mucous flap taken from the inner surface of the cheek, andleft adhering at the place of its implantation for a
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