. Transactions of the Southern Surgical and Gynecological Association . Fig. 3.—Authors cleft-palate operation for selected cases: A, lineof incision through mucous membrane and periosteum on the nasalseptum; B, same on the oral aspect of the hard palate on one side;C, point to which mucoperiosteum is Fig. 4.—Authors cleft-palate operation; imbrication of the muco-periosteal flaps and of flaps of the soft palate. ALEX. HUGH FERGUSON 287 with firm, fibrous tissue. The crowding procedure is mostsuitable in a class of cases otherwise very difficult to treat;that is, when segments are hor


. Transactions of the Southern Surgical and Gynecological Association . Fig. 3.—Authors cleft-palate operation for selected cases: A, lineof incision through mucous membrane and periosteum on the nasalseptum; B, same on the oral aspect of the hard palate on one side;C, point to which mucoperiosteum is Fig. 4.—Authors cleft-palate operation; imbrication of the muco-periosteal flaps and of flaps of the soft palate. ALEX. HUGH FERGUSON 287 with firm, fibrous tissue. The crowding procedure is mostsuitable in a class of cases otherwise very difficult to treat;that is, when segments are horizontal and the roof is like aNorman rather than a Gothic arch. The flaps in this classof cases are shorter, and by the older methods great tractionis employed to bring the pared edges in apposition, hence thefrequent cause of failure. When the bony edge of each seg-ment is not well covered by mucous membrane, even thoughthe cleft is narrow, a crowding operation is done preparatoryto the final closure of the cleft in order to obtain flaps suf-ficiently thick and well nourished to insure success. Themore vertical the slope of the palatal segments, the morefavorable the case is for operation by old methods. Os Incisivum. The os incisivum, also called the premaxilla and inter-maxilla, protrudes in the c


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