New elements of operative surgery . K ANDLIPS) BY DR. MOTT. It will be seen by the following cases of restoration of the com-missure of the mouth, and portions of the cheek, performed at NewYork by Dr. Mott, the one as early as about the year 1825, (theprecise date of the year being lost,) at the New York Hospital, theother in 1831, that the French anaplastic method, so called, the rulingprinciple of which is deplacement, was adopted in the practice ofthat surgeon at a very early date for the historj^ of this departmentof surgery. Case I.—By Displacement. This was a middle-aged man, (see plate
New elements of operative surgery . K ANDLIPS) BY DR. MOTT. It will be seen by the following cases of restoration of the com-missure of the mouth, and portions of the cheek, performed at NewYork by Dr. Mott, the one as early as about the year 1825, (theprecise date of the year being lost,) at the New York Hospital, theother in 1831, that the French anaplastic method, so called, the rulingprinciple of which is deplacement, was adopted in the practice ofthat surgeon at a very early date for the historj^ of this departmentof surgery. Case I.—By Displacement. This was a middle-aged man, (see plate A,) in whom the leftcommissure, and several inches of the cheek on that side in a hori-zontal direction, were totally destroyed, together with a correspond-ing portion of the alveolar processes and teeth of the lower jaw, bynecrosis, and all the result of violent mercurial action. Upon removing the necrosis, and allowing a few days to elapsefor the jaw to heal, I performed (says Dr. Mott) the following op- AMERICAN APPENDIX. 707. eration. : The hardened ^^^ Potts case of Genu-CheUoplasty, ^itout the year 1825.) edges of the cicatrized (PiateA.) margin of the chasm werepared off, the cheek wasthen freelydetached aboveand below, and as far backas the edge of the masse-ter muscle. The fresh sur-faces were now readily,by distension of the parts,brought into contact byseveral stitches of the in-terrupted suture, one stitchbeing applied to the neatadjustment of the angle ofthe mouth. The stitcheswere then supported bystrips of adhesive wound readily unitedby the adhesive process. The yielding nature ofthe tissues involved ena-bled me to effect so com-plete and natural a resto-ration of the parts, that the little deformity that remained wastruly surprising. Nothing but a mere seam of cicatrix was result seemed then the more remarkable, as but few or nooperations of geno-cheiloplasty, by the French method at least, hadthen been performed anywhere. This case has
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