A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . EPITHELIOMA OF THE LIP. 59 If preferred by the operator, the patients head may be allowed, inoperations on the palate, to hang over the end of the table, so that theroof of the mouth is below the operator. The blood then runs intothe nose and does not obscure the field of work. It is perhaps wise todivide the operation into two stages ; by first closing the gap in the softtissues and operating on the hard palate a few months lat
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . EPITHELIOMA OF THE LIP. 59 If preferred by the operator, the patients head may be allowed, inoperations on the palate, to hang over the end of the table, so that theroof of the mouth is below the operator. The blood then runs intothe nose and does not obscure the field of work. It is perhaps wise todivide the operation into two stages ; by first closing the gap in the softtissues and operating on the hard palate a few months later. Fig. No. 1. Manner of placing sutures. No. 2 shows gain in closing defect after cutting malar process. Operations for the relief of cleft palate, even when extensive, areoften quite successful, but at best they make a rather poor substitutefor the normal roof of a mouth. Subsequent to their use, careful train-ing of the child in articulation is very important. Epithelioma of the Lip. Symptoms.—Herpes, ulcerations of the non-malignant kind andinflammatory fissures or cracks in the lip belong to medicine. Epi-thelioma of the lower, however, is so common an affection, especiallyamong men, that it deserves special attention at this point. It is pos-sible that smoking a clay pipe and similar long continued irritationsmay be factors in the causation of this malignant disease. The upperlip is occasionally the seat of epithelioma. At first the variation fromhealth in the tissues is so slight that it is overlooked; but after a timethe patient notices a small hard nodule, which subsequently ulcera
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