. St. Thomas's Hospital reports. ocheck movement, and should be applied in such a way as to allowof the patient being turned on his side if necessary, so as to clearthe throat in case of vomiting. The mouth should be keptopen by a gag of some kind. Surgeons have their own fancieson this point. Mr. T. Smiths ingenious instrument^ is useful,but the instrument I am in the habit of employing (fig. 10),and which answers the purpose remarkably well, is one that wasmade for me in 1870, and which has since been sligiitly modifiedby Sir William I was not aware, until my atten-tion was direc
. St. Thomas's Hospital reports. ocheck movement, and should be applied in such a way as to allowof the patient being turned on his side if necessary, so as to clearthe throat in case of vomiting. The mouth should be keptopen by a gag of some kind. Surgeons have their own fancieson this point. Mr. T. Smiths ingenious instrument^ is useful,but the instrument I am in the habit of employing (fig. 10),and which answers the purpose remarkably well, is one that wasmade for me in 1870, and which has since been sligiitly modifiedby Sir William I was not aware, until my atten-tion was directed to the fact by my friend Mr. Alfred Coleman,that he had devised a somewhat similar, but rather more cum-bersome instrument to that first made for me.^y/ 1 Sec Trans., 1868. 2 See Brit. Med. Jouru., January Ist, 1876, p. 3. 3 See Med. Times, January 26th, 1861. On Cleft Palate. 67 I am quite convinced that the main difficulty in operations onthe palate is the hicniorrhagc, which is occasionally very trou- Fia. blesome; and whilst I think most highly of Sir W. Fergussousplan of dividing the muscles, yet I am inclined to believe thatthis part of the operation, inasmuch as it is attended with somebleeding, had better be postponed until after the denuda-tion of the edges. Now that chloroform is so universallyadministered the operator is enabled to pare the fissure rapidlyand generally in one continuous piece, the anaesthetic pre-venting the sudden contraction of the muscles. The differentmethods of dividing the muscle wall be referred to presently. The instruments to be employed should be of the simplestcharacter. Roux evidently had a horror of complicated surgicalapparatus. He says, after an experience extending over nearlyhalf a century, Je crains toujours dans la pratique des opera-tions les instruments qui tiennent trop du jeu des ou les actions simples peuvent suffice, cest de ce coteque sont mes predilections.^^ ^ The necessary preparation
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