Plastic surgery; its principles and practice . nserted at the same level behind the first one. The wires arepassed through holes in lead plates molded to fit the contour of thebones, and these lie between the cheek and the bone. After the edgesof the cleft have been freshened throughout, the margins are pressedtogether with the thumbs until they are approximated, and the wiresare twisted so that the bones are held together. The soft palate mayor may not be closed at this time. The plates and wires are allowed toremain in place about four weeks. Much can be done toward narrowing the cleft by an
Plastic surgery; its principles and practice . nserted at the same level behind the first one. The wires arepassed through holes in lead plates molded to fit the contour of thebones, and these lie between the cheek and the bone. After the edgesof the cleft have been freshened throughout, the margins are pressedtogether with the thumbs until they are approximated, and the wiresare twisted so that the bones are held together. The soft palate mayor may not be closed at this time. The plates and wires are allowed toremain in place about four weeks. Much can be done toward narrowing the cleft by an orthodonticapparatus applied on the inside of the mouth, consisting of a nut and 19 290 PLASTIC SURGERY screw bar, and bands for the teeth. Dr. G. V. I. Brown of Milwaukee,has been able to accomplish a good deal with it in children as young as18 months. This apparatus can also be applied to older children withsuccess. 2. The Turnover Flap Method.—The Davies-Colley method wasthe first devised, and was recommended in those cases in which the. ^^ ^
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