Surgical therapeutics and operative technique . Fig. 100.—Wound formed by Extirpation of Terebrating EpitheliomaOF Buccal Commissure. The upper flap has been folded down and sutured. Mobilization of autoplastic external Fig. 101.—Wound formed by Extirpation of Terebrating Epithelioma of Buccal Commissure. Coaptation of large external autoplastic flap. 48 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Epithelioma adherent to the Margin of the Orbit. When the tumour is adherent to the periosteum of the orbital margin,or has involved the adherent bone, we must include the osseous tissue ino


Surgical therapeutics and operative technique . Fig. 100.—Wound formed by Extirpation of Terebrating EpitheliomaOF Buccal Commissure. The upper flap has been folded down and sutured. Mobilization of autoplastic external Fig. 101.—Wound formed by Extirpation of Terebrating Epithelioma of Buccal Commissure. Coaptation of large external autoplastic flap. 48 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Epithelioma adherent to the Margin of the Orbit. When the tumour is adherent to the periosteum of the orbital margin,or has involved the adherent bone, we must include the osseous tissue inour resection. Operation—First Stage: Incision of the Skin.—The tumour is cir-cumscribed as an elliptical incision involving the periosteum, and the sub-jacent superior maxilla is exposed with a raspatory.


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