Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Fig. 152.—Result in Case Illustrated in Fig. 151. adjustment is good, and when tension upon the sutures iscorrect. (2) Operation for Cleft Alveolar Process.—Cleft of thealveolar process may occur with hare lip without cleftpalate, but it rarely occurs alone. Whether there is or isnot a cleft of the palate, the operation is pretty much thesame. When the bones cannot be approximated by manip-ulation or the screw or wire devices, and especially when 324 CLEFT PALATE. an ex- the free end of the incisive bone extend
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Fig. 152.—Result in Case Illustrated in Fig. 151. adjustment is good, and when tension upon the sutures iscorrect. (2) Operation for Cleft Alveolar Process.—Cleft of thealveolar process may occur with hare lip without cleftpalate, but it rarely occurs alone. Whether there is or isnot a cleft of the palate, the operation is pretty much thesame. When the bones cannot be approximated by manip-ulation or the screw or wire devices, and especially when 324 CLEFT PALATE. an ex- the free end of the incisive bone extends out beyond theline of the face, as in the case shown in figure 122, themethod is to fracture the bone into the naris on the goodside. The following case is reported as typical of this class of cases: Figures 151 and 152 show a case of single cleft palate and hare lip. The cleft in thebone was three-eighths ofinch, and in the lip one consisted intracting the third tooth fromthe cleft. The alveolar processwas fractured into the right an-terior naris with a chisel,through the tooth socket. Theintermaxillary bone was thenforced around so as to close upthe cleft. The free ends of theprocess were freshened, and thebones were held together by wir-ing. The drill holes were madeback of the second tooth from thecleft. Iron wire was used. The hare lip was operated oneleven days after the first operation. The wire was re-moved on the twenty-ninth day. The second picture wastaken on the thirtieth day, when the patient left the hospi-t
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
