. Minor and operative surgery, including bandaging . p andremoved at its articulation. The metatarsal bone of thegreat toe is exposed by making a curved incision over thatbone on the inner side of the foot (Fig. 463). Excision of the Coccyx.—-In excising the coccvx. thefinger is passed into the rectum and the position of the EXCISION OF THE UPPER J A W. 553 bone determined; a longitudinal incision through the skinand fibrous tissues covering the coccyx is made from apoint about- a quarter of an inch above its upper limit,and is carried down to a little below its lower incision m
. Minor and operative surgery, including bandaging . p andremoved at its articulation. The metatarsal bone of thegreat toe is exposed by making a curved incision over thatbone on the inner side of the foot (Fig. 463). Excision of the Coccyx.—-In excising the coccvx. thefinger is passed into the rectum and the position of the EXCISION OF THE UPPER J A W. 553 bone determined; a longitudinal incision through the skinand fibrous tissues covering the coccyx is made from apoint about- a quarter of an inch above its upper limit,and is carried down to a little below its lower incision may be supplemented with a transverse in-cision. The sacro-coccygeal articulation is then opened ; anelevator is next introduced into the articulation and thebone is raised up and grasped with forceps. It shouldthen be freed from its lateral attachments, and those uponits anterior surface, with the knife and elevator. Excision of the Upper Jaw.—In excising one-half ofthe upper jaw, the incision is begun half an inch below the Fig. 464. Fig. Incision for excision of the upper jaw. Incision for excision of thelower jaw. inner can thus of the eye, and is carried downward alongthe line of junction of the nose and cheek, along the coursewhich limits the aire nasi, and longitudinally to the sep-tum, and then down through the free border of the lip ; itis also advisable to carry the incision along the lower edgeof the orbit outward over the malar bone (Fig. 464); theflap being dissected away from the surface of the bone, asmall, narrow metacarpal saw is then applied to the floorof the nostril until a deep groove is made; the soft palate 554 EXCISIONS OB RESECTIONS. and the tissue covering the hard palate are next dividedfrom within the mouth with a strong knife; one or twoincisor teeth should be removed, and one blade of a pairof strong bone-forceps introduced into the floor of thenose in the line of the saw incision, the other blade isintroduced into the mouth in the line of
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