Plastic surgery; its principles and practice . silkworm. Fig. 225.—Operation for single complete harelip (Neu-).— The calipers deter-mining the length of the incisions to be made. The dotted lines indicate the incisions whichterminate at the vermilion line and which are of equal length on each side. B. The muco-cutaneous margins have been pared and the lip has been thoroughly freed from the boneon each side. The small clamps on either side of the lip are to control bleeding. C. Thefirst silkworm gut suture to form the nostril is inserted from the inside and does not pene-trate the skin. D.
Plastic surgery; its principles and practice . silkworm. Fig. 225.—Operation for single complete harelip (Neu-).— The calipers deter-mining the length of the incisions to be made. The dotted lines indicate the incisions whichterminate at the vermilion line and which are of equal length on each side. B. The muco-cutaneous margins have been pared and the lip has been thoroughly freed from the boneon each side. The small clamps on either side of the lip are to control bleeding. C. Thefirst silkworm gut suture to form the nostril is inserted from the inside and does not pene-trate the skin. D. The first silkworm gut suture is tied and the second is placed. E. Theskin is approximated with horsehair. 266 PLASTIC SURGERY completed operation. A similar point C is taken on the other side ofthe cleft. Both C and C are pricked with the points of the now ready to denude the sides of the cleft the operator passes a F. G ^m m SixtiiTes H P, .^- of v^^ ., XoTSe- ^^ Kalr f^; W . ^ 1 Pig. 226.—Operation for harelip (New).—F. The dotted lines on the vermilionborder indicate approximately the incisions made to complete the red line of the lip. lip completely closed with horsehair sutures. retaining stitch of horsehair through each side of the mucous membraneof the lip close to, but below, C and C. The lip is transfixed with anarrow-bladed knife at B, and the knife is carried with a sawing sweepin a slight curve to A, where it emerges exactly at the shoulder. The HARELIP AND CLEFT PALATE 267 lip is then divided along the line BC and the tissue outlined by ABC isremoved. The same maneuver is carried out on the opposite side ofthe cleft, the knife passing along the line ABC. As a result we now have two raw surfaces opposed to one another,the corresponding sides of which are equal in length. Thus AB isequal to AB, and BC is equal to BC. If A be united to A\ and B to B, and C to C, the sides of the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
