. Manual of operative surgery. ibed, Reich (Zent. fur Chir., 1911, No. 25) remarks that it formsa blunt and bull-dog nose. He has endeavored to overcome this error. Reichs Operation. Step i.—Dissect the philtrum from the intermaxillarybone and, in doing so, expose the edge of the cartilaginous septum immediatelyabove the intermaxillary bone. With straight scissors divide the nasal septumobliquely upwards and backwards as high as possible (Fig. 221). This cutdivides the mucosa, periosteum and perichondrium, cartilaginous septum andthe perpendicular plate of the ethmoid and leaves in front of it
. Manual of operative surgery. ibed, Reich (Zent. fur Chir., 1911, No. 25) remarks that it formsa blunt and bull-dog nose. He has endeavored to overcome this error. Reichs Operation. Step i.—Dissect the philtrum from the intermaxillarybone and, in doing so, expose the edge of the cartilaginous septum immediatelyabove the intermaxillary bone. With straight scissors divide the nasal septumobliquely upwards and backwards as high as possible (Fig. 221). This cutdivides the mucosa, periosteum and perichondrium, cartilaginous septum andthe perpendicular plate of the ethmoid and leaves in front of it, and separatefrom the rest of the septum, a plate of bone and cartilage reaching from theroot to the tip of the nose, guaranteeing its profile. Step 2.—Subperiosteally excise a wedge of the septum as in the precedingoperation but much farther back. Push the intermaxillary bone into correctposition. Step 3.—Close the hare-lip in the usual manner, using the philtrum nasi toform the cutaneous septum of the nose (Fig. 222)..
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
