Surgical therapeutics and operative technique . la; two raspatories, straight and curved; one curette;one gag; two retractors for the labial commissures; one needJe, mounted; twoforceps with eccentric jaws. [Reduced to one-sixth.] a pedunculated mucous flap taken from the inner surface of the cheek, andleft adhering at the place of its implantation for an interval of six or eightdays. In a second operation the pedicle is divided, and the palatine suturecompleted. Syphilitic Perforations.—Syphilitic perforations can be repaired only aftercomplete removal of necrosed bony tissues. They are often


Surgical therapeutics and operative technique . la; two raspatories, straight and curved; one curette;one gag; two retractors for the labial commissures; one needJe, mounted; twoforceps with eccentric jaws. [Reduced to one-sixth.] a pedunculated mucous flap taken from the inner surface of the cheek, andleft adhering at the place of its implantation for an interval of six or eightdays. In a second operation the pedicle is divided, and the palatine suturecompleted. Syphilitic Perforations.—Syphilitic perforations can be repaired only aftercomplete removal of necrosed bony tissues. They are often very exten- OPERATIONS ON THE HEAD 101 sive. Absence of the subjacent skeleton renders more difficult the vivifica-tion of the margins of the orifice by folding. The lateral incisions and thedecollation of the two mucous flaps must be carried very far back. Congenital Division of the Palatijie Arch and Velum Palati. Complete Urano-Staphylorrhaphy.—This operation is intended for repairof congenital divisions of the palate and velum Fig. 197.—Ukano-Staphyloerhapht. First stage: Liberating incisions. Decollationof the muco-membranous palate witliTrelats raspatory. The decollation should be pursued as far back as a b, inorder to mobilize the velum palati.


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Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative