Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . e to cicatricialcontraction, or when the structures are more consolidated, a plastic operationof greater extent is necessary. In less aggravated cases a smaller incision maybe used (Figs. 782 and 783). Shortening the lid, by cutting out a segment. TREATMENT OF INJURIES AND DISEASES OF THE HEAD 145 rather than attempts at its inversion, is essential in cases of extreme eversion(Figs. 784 and 785). If there is relaxation of the tissues, eversion of the lower lid, an


Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . e to cicatricialcontraction, or when the structures are more consolidated, a plastic operationof greater extent is necessary. In less aggravated cases a smaller incision maybe used (Figs. 782 and 783). Shortening the lid, by cutting out a segment. TREATMENT OF INJURIES AND DISEASES OF THE HEAD 145 rather than attempts at its inversion, is essential in cases of extreme eversion(Figs. 784 and 785). If there is relaxation of the tissues, eversion of the lower lid, and thicken-ing of the everted conjunctiva, the Kuhnt-Szymanowski operation is valuable(Fig. 786). The lid margin is incised posterior to the cilia, and the tarsusseparated from the tissues in front of it. This dissection should be madethroughout nearly the whole extent of the ectropion. A triangular piece isthen cut out of the conjunctiva and tarsal cartilage. To take up the slackin the skin a second triangle, with the base upward, is removed at the outerpart of the lid. The wound from which the triangular piece of conjunctiva.


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920