. Operative surgery. king the extremities of the flapsstraight. In other respects no radicaldifference between these methods exists. Bucks Method.—Buck first removedthe morbid growth by the V-shaped in-cision, and united the parts in the usual amanner. After union had taken place,the short lower lip was overhung by theupper, giving to the patient a sucker-mouthed appearance (Fig. 775). Thesteps taken to relieve this deforn^ity canbest be described in Dr. Bucks own lan-guage : In order to insure precision inmaking the requisite incisions, their course should first lie designated by pins tempora
. Operative surgery. king the extremities of the flapsstraight. In other respects no radicaldifference between these methods exists. Bucks Method.—Buck first removedthe morbid growth by the V-shaped in-cision, and united the parts in the usual amanner. After union had taken place,the short lower lip was overhung by theupper, giving to the patient a sucker-mouthed appearance (Fig. 775). Thesteps taken to relieve this deforn^ity canbest be described in Dr. Bucks own lan-guage : In order to insure precision inmaking the requisite incisions, their course should first lie designated by pins temporarily inserted erect in the skinat certain points, as shown by Fig. 776. The letters a a represent two pinsinserted at one fingers breadth below the under-lip border, one at either sideof the chin, a little to the outside of the angle of the mouth, and both equidis-tant from the median line; h h are also two pins inserted, one on either side,into the upper lip, at the margin of the vermilion border, both equidistant. d Fig. 775.—Operation for contractedlower lip. 610 OPERATIVE SURGERY. from the median liue and at such a distance apart as to include betweenthem sufficient length of lip border with which to form a new upper steps of the operation are, then, the following: with the forefinger ofthe left hand placed on the inside of the mouth, the cheek is held moderatelyon the stretch, while with a sharp-pointed knife it is transfixed at the point«, as marked by the lower pin in the side of the chin. An incision is then carried through the entire thicknessof the cheek upward and a little out-ward, a distance of one inch and ahalf to a point c, near the middle ofthe cheek. The upper lip should nextbe transfixed at the point S, markedby a pin on the vermilion border, andthe incision carried through the lipand cheek outward and a little up-ward to join the first incision at itsterminus c in the middle of the triangular patch, 5 c a, will thus beformed which will i
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