. Manual of operative surgery. turesperforating flap i, 2,3 and the margin of the septum if it be not too hard, or the flaps of muco-periosteum if the edge be bony, securely fix the flap to the septum (i, Fig. 235). Proceed toStep 3. Type C.—Double cleft palate. Premaxillary bone (P, M,Fig. 236) well in front of the alveolar arch and fixed to the undersurface of the nose; the mesial segment (L) of lip is fixed to theanterior surface of the premaxilla. Operation by means of re-flected and pivoting flaps. (The following description is inLanes own words.) The reflected flap is obtained by an inci
. Manual of operative surgery. turesperforating flap i, 2,3 and the margin of the septum if it be not too hard, or the flaps of muco-periosteum if the edge be bony, securely fix the flap to the septum (i, Fig. 235). Proceed toStep 3. Type C.—Double cleft palate. Premaxillary bone (P, M,Fig. 236) well in front of the alveolar arch and fixed to the undersurface of the nose; the mesial segment (L) of lip is fixed to theanterior surface of the premaxilla. Operation by means of re-flected and pivoting flaps. (The following description is inLanes own words.) The reflected flap is obtained by an incision extending fromI along the outer aspect of the alveolus, through 2, and on to 3,when it bends inwards along the free margin of the soft palate to the uvula pivoting flap is obtained by an incision from 5, along the outer aspect ofthe alveolus, through 6, along the margin of the cleft in the hard palate from7 to 8, along the upper surface of the soft palate 9, and then to 10. Fig. 229.— (Lane.) lanes operation 149. Fig. 230.—Lanes uranoplasty.
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