Operative surgery, for students and practitioners . lveolar process) and between the palatal processes ofthe superior maxillary processes of either side (cleft of the hard andsoft palate), we have the most extreme variety of this group of deformi-ties. There are found all degrees of this variety of deformity fromthis exaggerated form down to a mere notching of the upper lip(incomplete harelip) or bifurcation of the uvula. CONGENITAL DEFORMITIES OF THE FACE. 173 Harelip.—This condition may be incomplete or complete. Incomplete harelip consists in a vertical notch in the free mar-gin of the uppe


Operative surgery, for students and practitioners . lveolar process) and between the palatal processes ofthe superior maxillary processes of either side (cleft of the hard andsoft palate), we have the most extreme variety of this group of deformi-ties. There are found all degrees of this variety of deformity fromthis exaggerated form down to a mere notching of the upper lip(incomplete harelip) or bifurcation of the uvula. CONGENITAL DEFORMITIES OF THE FACE. 173 Harelip.—This condition may be incomplete or complete. Incomplete harelip consists in a vertical notch in the free mar-gin of the upper lip. It is located to one side of the middle linebetween the middle segment and the lateral segment of the lip. Itvaries in depth from a barely noticeable notch to a deep fissure whichmay extend almost through the entire lip, leaving but a narrowbridge of integument separating the angle of the notch from thenostril. In complete harelip the fissure extends all the way through theupper lip into the nostril. It may be associated with cleft of the. Fig. 87.—Double Complete Harelip. alveolar process and with cleft palate. The nose is unusually broadand flattened, the wing of the nose, on the side corresponding tothe cleft, being carried outward away from the middle line. Thesedeformities may involve one or both sides. If double, those of thetwo sides may differ from each other; the fissure on one side maybe complete, that of the other side incomplete, or those of both sidesmay be complete. They may be associated with cleft of the alveolarprocess and with cleft palate, the intermaxillary bone often beingsmall and misplaced forward. The entire middle segment of thelip may be absent, together with the intermaxillary bone and thevomer. In this case the upper lip shows a broad, median space, whichopens into the nasal cavity. Cleft of the Alveolar Process.—With harelip, as already men-tioned, there may also be present a cleft of the alveolar process, and 174 HEAD AND FACE. this ma


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