. Operative surgery. angleof the mouth. These flaps are dissected up and united in the median lineby the usual means. Dowds Method.—This method exposes the sub-maxillary spaces for removal, of diseased lymphnodes, also affords better adjustment of the flapsthan does the preceding method. The Operation.—Eemove the primary growthas indicated (Fig. 779) half to three fourths of aninch from its margin; make then two deep diverg-ing incisions, one at either side, and located so asto permit of exposition of the submaxillary con-tents; make two horizontal incisions, one at eitherside, each beginning
. Operative surgery. angleof the mouth. These flaps are dissected up and united in the median lineby the usual means. Dowds Method.—This method exposes the sub-maxillary spaces for removal, of diseased lymphnodes, also affords better adjustment of the flapsthan does the preceding method. The Operation.—Eemove the primary growthas indicated (Fig. 779) half to three fourths of aninch from its margin; make then two deep diverg-ing incisions, one at either side, and located so asto permit of exposition of the submaxillary con-tents; make two horizontal incisions, one at eitherside, each beginning at the angle of the mouth andextending liackward two inches or more, as may berequired, down to the buccal mucous membrane;expose upward from these incisions for a third of an inch the mucousmembrane, dividing it at this the upper limit from before backward at eitherside, sufficiently to constitute ample tissue for a complete vermilion borderof the new lip; remove carefully from each submaxillary space the lymph. Fig. 779.—Dowds method. 612 OPERATIVE SURGERY.
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