Plastic surgery; its principles and practice . stitches are removed, and after gentle irriga-tion of the graft lined cavity with normal salt solution, the same eye isagain inserted. The cavity after grafting may be filled with meltedparafitin, and the same post-operative routine carried out, but my pref-erence is for the glass eye. After three weeks the normal sized eye isinserted, and except for daily cleaning is kept in place continuously forsix weeks, after which the usual routine of nightly removal is com-menced. 1^ CANTHOPLASTY (LENGTHENING THE PALPEBRAL OPENING) Canthoplasty is a very im
Plastic surgery; its principles and practice . stitches are removed, and after gentle irriga-tion of the graft lined cavity with normal salt solution, the same eye isagain inserted. The cavity after grafting may be filled with meltedparafitin, and the same post-operative routine carried out, but my pref-erence is for the glass eye. After three weeks the normal sized eye isinserted, and except for daily cleaning is kept in place continuously forsix weeks, after which the usual routine of nightly removal is com-menced. 1^ CANTHOPLASTY (LENGTHENING THE PALPEBRAL OPENING) Canthoplasty is a very important procedure (either primary orsecondary), in many of the plastic operations on the lid; it has for itsobject the lengthening of the outer commissure. 38o PLASTIC SURGERY Agnews Operation. (^Modification of von Amnions Operation.)—With strong scissors the outer commissure is lengthened for from i. cm. (75 to inch). The canthal Hgament (above and below) isdivided with very fine scissors. A needle is placed in the conjunctival. Fig. 364.—Von Ammon-Agnews operation for canthoplasty (Beard).—The pal-pebral fissure has been lengthened, and the external canthal ligament divided. Note theposition of the sutures so placed that they prevent stretching of the conjunctiva, and oblit-eration of the external cul-de-sac. angle and is carried outward as far as it will go without stretching theconjunctiva, and is passed through the upper lip of the wound (not tothe external angle of the skin incision, if it would cause too much ten-
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