The homeopathic practice of surgery : together with operative surgery . ition of mucoussurfaces to take on adhesive inflammation, and the great difficultyin this case of keeping the parts in quiet apposition. In this op-eration the new roof is brought from the walls of the mouth, orinside of the cheeks, and secured by a sufficient number of inter-rupted sutures. This difficult operation (called Staphylorr-haphy and by one learned author Uraniskoraphia !) is onlynecessary where the palate bones or palatine processes of the su-perior maxillary, or so great a portion of the soft palate is want- 1
The homeopathic practice of surgery : together with operative surgery . ition of mucoussurfaces to take on adhesive inflammation, and the great difficultyin this case of keeping the parts in quiet apposition. In this op-eration the new roof is brought from the walls of the mouth, orinside of the cheeks, and secured by a sufficient number of inter-rupted sutures. This difficult operation (called Staphylorr-haphy and by one learned author Uraniskoraphia !) is onlynecessary where the palate bones or palatine processes of the su-perior maxillary, or so great a portion of the soft palate is want- 190 OPERATIONS ABOUT OR WITHIN THE MOUTH. ing, as to make it impossible to approximate the edges by simpleligatures, — as is done in the more ordinary — operation for fissure of the palate. Some of the samedifficulties, however, attend this operation, as the more seriousjust described. Various plans have been devised for overcomingthese, and numerous instruments invented, — some of them socomplex as to require several assistants, and make the operation Fig. very tedious, thus adding to its uncertainty. Here, as always,the simplest means are the best; and we prefer the curved needle(Figure 126), eyed at the point, with a pair of forceps, which,like it, has a handle set at an obtuse angle with the blade, so thatwhen either is being used, the hand of the operator may be outof his own light. The patients head is to be held steadily backby an assistant, and the mouth kept open by wedges far back be-tween the teeth. The edges of the fissure are to be first paredoff by curved scissors or bistoury, while firmly held by the for-ceps. As soon as the bleeding has ceased and all coagula beenremoved from the wounded surfaces, press the tongue down witha finger and introduce the needle, armed with the ligature, abouthalf an inch from the margin, bringing it out at the fissure. Thenseize the ligature with forceps, and withdraw the needle. Threadit again with the same end, and pass
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