. Manual of operative surgery. deration. C. H. Peck recommends the use of a dental plate to protect the united palate. The plate must of coursebe removed frequently for the sake of cleanliness. After-treatment.—^Liquid or soft food is alone per-missible. Antiseptic sprays may be used if notannoying to the patient. The patient should get outof bed, and in suitable weather, out of doors as soonas possible. The sutures must not be removed earlierthan the seventh day after operation. Partial Cleft Palate.—When there is a cleft ofthe soft palate alone and the edges can be broughttogether without te
. Manual of operative surgery. deration. C. H. Peck recommends the use of a dental plate to protect the united palate. The plate must of coursebe removed frequently for the sake of cleanliness. After-treatment.—^Liquid or soft food is alone per-missible. Antiseptic sprays may be used if notannoying to the patient. The patient should get outof bed, and in suitable weather, out of doors as soonas possible. The sutures must not be removed earlierthan the seventh day after operation. Partial Cleft Palate.—When there is a cleft ofthe soft palate alone and the edges can be broughttogether without tension, one is content to pare theedges and apply sutures. When the cleft in the softpalate reaches close to the hard or when the latteris partially cleft, it is absolutely necessary to relievetension. This is done in the same fashion as in complete cleft palate by di-viding the attachments of the velum to the hard palate and by separating themuco-periosteum from the bone to as great an extent as may be necessary(Fig. 253).. Z and 0. Line of separationof attachments of velum to hardpalate. X, Y, Z, Q. Area inwhich muco-periosteum (con-tinuous with the velum) isseparated from the bone. CHAPTER XVI TONGUE Butlins Marginal Resection of the Tongue.—This operation is suitablewhere the tongue is originally, or has become, too large for the mouth andwhere its lateral margin in contact with the teeth shows dangerous or annoyingirritability. The effects of the operation are: (a) diminution in the size of thetongue without impairment of mobility or speech, {h) the teeth, instead of beingin contact with an irritable papilla-bearing surface, now lie in contact with smoothmucous membrane derived from the inframarginal surface of the tongue. Butlins operation (Burghards Op. Surg. II, 209) has been modified by Samp-son Handley (Brit. Journ. Surg. I, 42) so as to do away with the necessity oflaryngotomy. An anesthetic should be administered exactly as in operating for cleftpalate. Step I.
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