Operative surgery, for students and practitioners . .,^1-—m. :?-?? Fig. 111.—Flaps Turned Down Readyfor Suture. short to take part in the formation of the free border of the lip, butit may be used to form the middle portion of the lip. From thewhole of the middle segment the mucous membrane edge is trimmedaway, and a Mirault flap then made from the edge of each lateralsegment. If the nose is flattened and the alse spread out, this de-. Fig. 112.—Result After Suture. formity may be corrected by separating the lateral segments of thelips and the sides of the nose from their deep attachments—from
Operative surgery, for students and practitioners . .,^1-—m. :?-?? Fig. 111.—Flaps Turned Down Readyfor Suture. short to take part in the formation of the free border of the lip, butit may be used to form the middle portion of the lip. From thewhole of the middle segment the mucous membrane edge is trimmedaway, and a Mirault flap then made from the edge of each lateralsegment. If the nose is flattened and the alse spread out, this de-. Fig. 112.—Result After Suture. formity may be corrected by separating the lateral segments of thelips and the sides of the nose from their deep attachments—from thesuperior maxillary bone. The fold of mucous membrane that at-taches the lateral segment to the alveolar process, etc., is snippedwith the knife and the segment of the lip and the side of the noseare then freely separated with the periosteum elevator. The lateralsegments of the lip must be very loose. Instead of the Mirault, adouble Hagedorn may be done for this condition. OPERATIONS FOR HARELIP, CLEFT PALATE, ETC. 187 Operation for Double Harelip with Prominent Advanced Inter-maxillary Bone.—The middle segment may be placed very far for-ward upon or near the point of the nose. This condition maybe remedied by resecting the bony part of the prominent inter-maxillary portion, leaving the soft parts to assist in making the should be avoided, however, if possible, as there results a veryunsightly deformity; the l
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
