Modern surgery, general and operative . side projects more than itsfellow, grasp it with sequestrum forceps and bend it back (Jacobson andTreves). Clamp the upper lip at each angle of the mouth to prevent hem-orrhage. If the edges are of equal or nearly equal length, and if the gapis not very wide, perform Malgaignes operation. This is performed as fol-lows : A flap is detached on each side, the detachment beginning at the upperangle of the gap; each flap is detached above, but remains attached flaps are separated from the bone, and are drawn downward so as to forma prominence at the


Modern surgery, general and operative . side projects more than itsfellow, grasp it with sequestrum forceps and bend it back (Jacobson andTreves). Clamp the upper lip at each angle of the mouth to prevent hem-orrhage. If the edges are of equal or nearly equal length, and if the gapis not very wide, perform Malgaignes operation. This is performed as fol-lows : A flap is detached on each side, the detachment beginning at the upperangle of the gap; each flap is detached above, but remains attached flaps are separated from the bone, and are drawn downward so as to forma prominence at the vermilion border (Fig. 575). If the edges are pared sothat in closure the vermilion border is even, when the parts are healed a gutterwill be visible at the line of union. The edges are approximated by an assist-ant, and silkworm-gut sutures or silver wires are passed by means of a straightneedle. Each suture goes down to the mucous membrane. The first sutureis passed through the middle of the lip, 5 inch from the cleft. Three or four.


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery