Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ured. If the tension upon the sutures is too great, union will not take the tissues are separated too much from their blood supply sloughing willoccur. The descending palatine vessels should be spared. If they must bedivided to complete the closure posteriorly, that should be done at a lateroperation. One reason why the tissues are tense in the middle line is because of theresistance offered by the aponeurosis and muscles of the velum palati which 260 SUR
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ured. If the tension upon the sutures is too great, union will not take the tissues are separated too much from their blood supply sloughing willoccur. The descending palatine vessels should be spared. If they must bedivided to complete the closure posteriorly, that should be done at a lateroperation. One reason why the tissues are tense in the middle line is because of theresistance offered by the aponeurosis and muscles of the velum palati which 260 SURGICAL TREATMENT connect it to the hard palate. Attached to the posterior border of the hardpalate are the fascia of the velum, the tensor palati and the levator palatimuscles. These must be detached before the soft structures can be movedinward. The lateral incisions having been carried back to the posteriormargin of the hard palate, a knife or scissors curved on the flat to nearly aright angle, is passed into the lateral wound, and by a transverse cut thevelum palati is divided from its bony attachment (Fig. 932). The extent. Fig. 932.—Showing Method of Dividing the Inelastic Aponeurosis Which Holds the Soft Palate to the Hard Palate. The mucous membrane has been separated from the lower surface of the hard palate and the knife (K) cuts the aponeurosis. of this cut must depend upon the amount of relaxation required. It is bestto use the knife, and cut upward only through the aponeurosis, withoutpenetrating the superior layer of mucous membrane. This requires the mucous membrane on the nasal side is cut. Some surgeonsuse scissors and make a through-and-through cut. This is unnecessarymutilation.
Size: 3214px × 777px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
