. Operative surgery, for students and practitioners . Fig. 36.—Incomplete Oblique Facial Cleft. The edge of the upper lip 13notched and a cicatricial lme extends across the cheek to the lower eyelid,which is everted. beyond the orbit, from its outer corner, upward and outward intothe fronto-temporal region of the skull. They vary from a narrow. Fig Transverse Facial Cleft. fissure or incomplete notch to a wide, gaping fissure, between theedges of which is the eyeball. This class of deformity is frequently OPERATIONS FOR HARELIP, CLEFT PALATE, ETC. 103 represented in its simplest form by a notc
. Operative surgery, for students and practitioners . Fig. 36.—Incomplete Oblique Facial Cleft. The edge of the upper lip 13notched and a cicatricial lme extends across the cheek to the lower eyelid,which is everted. beyond the orbit, from its outer corner, upward and outward intothe fronto-temporal region of the skull. They vary from a narrow. Fig Transverse Facial Cleft. fissure or incomplete notch to a wide, gaping fissure, between theedges of which is the eyeball. This class of deformity is frequently OPERATIONS FOR HARELIP, CLEFT PALATE, ETC. 103 represented in its simplest form by a notch or coloboma of the loweror upper eyelid. Instead of a fissure, this deformity may be repre-sented by a cicatricial, nodulated seam, indicating the orbito-nasaljunction. Deformities in Which the First Visceral Arch is Facial Clefts, etc.—These are due to a failure ofthe inferior maxillary process of the first visceral arch and its supe-rior maxillary process to coalesce to the normal extent. This de-formity may be unilateral or double. The cleft extends from thecorner of the mouth outward through the cheek and exposes theteeth: macrostoma. If the reverse of this process occurs, we mayhave a mouth so small as to require surgical interference: micro-stoma. Median Clefts of the Lower Lip, Lower Jaw, and Tongue.—Th
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