Surgery; its theory and practice . cisions through each side of the soft palate parallel to the cleftand just internal to the hamular process, with a tenotome on along handle. By these incisions the levator palati muscles aredivided. The palato-pharyngei may also be divided if neces-sary by notching the posterior pillars of the fauces with scissors. Fig. 242. Wire-twister. Uranoplasty, or closure of the hard palate. The soft palatehaving been previously brought together in the way described,the operation on the hard may be begun at that stage where thetension becomes such that the soft parts c
Surgery; its theory and practice . cisions through each side of the soft palate parallel to the cleftand just internal to the hamular process, with a tenotome on along handle. By these incisions the levator palati muscles aredivided. The palato-pharyngei may also be divided if neces-sary by notching the posterior pillars of the fauces with scissors. Fig. 242. Wire-twister. Uranoplasty, or closure of the hard palate. The soft palatehaving been previously brought together in the way described,the operation on the hard may be begun at that stage where thetension becomes such that the soft parts can no longer be broughttogether. The edges of the cleft having been pared, an incisionfrom a quarter to three-quarters of an inch long should be madeon either side of, and parallel to, the cleft through the muco-periosteum down to the bone (Fig. 243 e, e). The incisionsshould fall a little distance from the alveolar process, so as toavoid wounding the anterior palatine artery. Into one of these23 530 DISEASES OF REGIONS. Fig. incisions a raspatory or an aneurysm needle with a short curveshould be introduced, and the muco-periosteum separated fromthe bone along the whole length of the cleft in the hard palate,avoiding the neighborhood of the posterior palatine foramenthrough which the anterior palatine arterynms. The attachment of the muco-periosteum to the posterior margin of thehard palate should be divided withcurved scissors passed through the cleftand behind the soft palate, which shouldbe drawn forwards to facilitate this stepof the operation. Pressure should bemade upon the parts with a small spongeby an assistant, whilst the muco-periosteum is being separated in likemanner on the opposite side. Wire su-tures should now be passed in the waydescribed for uniting the soft palate, andany tension relieved by prolonging thecuts made for the introduction of theraspatory forwards or backwards, as thecase may require. Haemorrhage, thoughoften sharp, is seldom severe, and ma
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
