Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . d from the orbicularis and frontalis muscles for a short distance upward and downward on the lid. Sutures arepassed through the skin of the lid into thewound and brought out through the skin of thebrow. When these are tied they slide upwardthe skin of the upper part of the lid so that itlies on the frontalis muscle. This is called theoperation of Hess. Another procedure consists in making acurved incision under the upper orbital ridge,dissecting free the skin abov
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . d from the orbicularis and frontalis muscles for a short distance upward and downward on the lid. Sutures arepassed through the skin of the lid into thewound and brought out through the skin of thebrow. When these are tied they slide upwardthe skin of the upper part of the lid so that itlies on the frontalis muscle. This is called theoperation of Hess. Another procedure consists in making acurved incision under the upper orbital ridge,dissecting free the skin above and below, pickingup the levator muscle dividing it as far back aspossible, and attaching its distal stump to thefrontalis as it blends with the orbicularis brings down a slip of the frontalis it to the tarsal cartilage. Motais operation takes a narrow stripfrom the center of the superior rectus muscle, passes it through an openingin the conjunctiva, and attaches it to the skin at the upper border of thetarsal cartilage. For restoring upper eyelid after the removal of tumors or scar tissue, a skin. Fig. 774.—Cantiioplastyior Enlarging Palperal;i about in 1: 1 i>>l. TREATMENT OF INJURIES AND DISEASES OF THE HEAD 143 flap may be turned into the denuded area from the outer side of the flap should be cut about twice the size of the area to be covered ( and 773). Canihoplasty (blepharotomy) is done to enlarge an abnormally smallpalpebral fissure. The external commissure is divided outward, preferablywith blunt-pointed scissors. The skin wound is carried slightly farther thanthat of the conjunctiva. The conjunctiva and skin are then sewed togetherwith interrupted sutures (Fig. 774). In extreme cases of shortening of the fissure, such as follows scar contrac-tion, a flap of skin may be swung down from the temple and split (Fig. 775). Tarsorrhaphy may be lateral or median. Lateral tarsorrhaphy is done toreduce the size
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
