. Modern surgery, general and operative. are pared on each side, from the tip of the uvula to the top of the gap. Stripsof the mucoperiosteum are lifted up on each side of the gap and shifted toward the cleft, and at this stage the pos-terior border of the soft palate isseparated from the posterior borderof the hard palate (Fig. 671). The parts are sutured with silverwire, following the advice of EdmundOwen to twist and cut each wire,leaving an end ^^ inch in procedure causes the child tokeep his tongue from the suture the first twenty-four hourswater only is given. After
. Modern surgery, general and operative. are pared on each side, from the tip of the uvula to the top of the gap. Stripsof the mucoperiosteum are lifted up on each side of the gap and shifted toward the cleft, and at this stage the pos-terior border of the soft palate isseparated from the posterior borderof the hard palate (Fig. 671). The parts are sutured with silverwire, following the advice of EdmundOwen to twist and cut each wire,leaving an end ^^ inch in procedure causes the child tokeep his tongue from the suture the first twenty-four hourswater only is given. After thisperiod the patient is fed with jellyand liquids. Only fluid or soft foodis used for two or three is forbidden. A day ortwo after the operation the childshould be taken into the open airand kept in it all day. As Owenshows, this greatly stimulates vitalresistance and lessens, to a consid-erable extent, the danger of slough-ing of the suture line. The mouthis washed frequently, and alwaysThe sutures are allowed to remain. Fig. 671.—Longitudinal vertical sectionthrough the hard and soft palates: a, Beforeoperation; b, palatine mucoperiosteum de-tached and brought do\\Ti, blades of scissorsintroduced to cut attachment of soft palateto the bony palate and to the nasal mucousmembrane; c, the same after the cut has beenmade and the soft palate thus brought down(Berry). after taking food, with Condys fluidbetween two and three weeks. Sir William Fergnssons Operation.—In this operation the mucous edges arepared, the bones are drilled for wires, and the sutures are inserted, but not incision is made on each side of the cleft down to the bone, each incisionbeing midway between the cleft and the corresponding alveolus. The bone isdivided on each side, by means of a chisel, to the full length of the incision;and the chisel is used as a lever to force each half of the bone toward the sutures are tied, and each lateral incision is plugged with iodoform ga
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
