Plastic surgery; its principles and practice . Branelxes i>o soj^t palate palatine a ^-^^ tonsil BrarvcVt ano-stoTUOsinc Great uritK asoendind palatine a. Fig. 246.—Blood supply of the palate (New).—Sagittal section showing the positionof the anterior and posterior palatine arteries and their anastomosis. Necessary Apparatus Mouth Gag.—Good exposure of the cleft with proper illuminationis essential if the palate is to be closed with any degree of satisfaction tothe operator. The exposure can be obtained by using one of the manyforms of mouth gags. I have found the Whitehead type with tongue
Plastic surgery; its principles and practice . Branelxes i>o soj^t palate palatine a ^-^^ tonsil BrarvcVt ano-stoTUOsinc Great uritK asoendind palatine a. Fig. 246.—Blood supply of the palate (New).—Sagittal section showing the positionof the anterior and posterior palatine arteries and their anastomosis. Necessary Apparatus Mouth Gag.—Good exposure of the cleft with proper illuminationis essential if the palate is to be closed with any degree of satisfaction tothe operator. The exposure can be obtained by using one of the manyforms of mouth gags. I have found the Whitehead type with tonguedepressor to be as good as any. Sometimes in infants a small 282 PLASTIC SUEGERY appendix retractor in each angle of the mouth will give sufficientexposure. Any well-constructed electric head light, or hand light,will supply illumination. Aspirator.—A continuous suction aspirator with a flexible metalnozzle is of great value and serves to keep the field clear of blood andmucus. More important still it may prevent aspiration I 2 3 4 567 Pig. 247.—Elevators useful in cleft palate work.—i and 2. The ordinary blunt dis-sector, side and front views. The instrument is 15. cm. (6 inches) long and the widestportion of the blade is cm. (about ^j g inch) wide. 3. The blunt dissector with itsblade bent forward. 4. This long narrow elevator 20 cm. (8 inches) long has a blade (3^ inch) wide at its widest portion. 5 and 6. Brophys angled elevators. Note thedifference in the angles of the blades to the shaft. These instruments are cm. (5/^inches) long, and the widest portion of the blade is cm. (H2 inch). All of these instru-ments are blunt and are used for separating the mucoperiosteal flap from the hard palate. Knives.—Any thin narrow-bladed knife will do for making the pri-mary incisions and for the denudation of the edges of the flaps. A rec-tangular knife is of use in loosening flaps, especially in the narrow anglehigh up and just behind the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
