. Operative surgery. -ward parallel with the border of the lowerlip. An oblique incision, c d, about half aninch in length, was then made uj)ward andforward from the end of the horizontal one,leaving the flap with a good attachment at thepoint of finishing. He pared the edges of thedeformity and the adjoining end of the half lipabove, and separated the latter from its bonyattachments by free section of the underlyingtissues directed upward toward the orbit. Theunder-lip flap was then tipped endwise, and itsupper extremity connected by sutures with thefreshened end of the half upper lip. The re


. Operative surgery. -ward parallel with the border of the lowerlip. An oblique incision, c d, about half aninch in length, was then made uj)ward andforward from the end of the horizontal one,leaving the flap with a good attachment at thepoint of finishing. He pared the edges of thedeformity and the adjoining end of the half lipabove, and separated the latter from its bonyattachments by free section of the underlyingtissues directed upward toward the orbit. Theunder-lip flap was then tipped endwise, and itsupper extremity connected by sutures with thefreshened end of the half upper lip. The re-maining space between the flap and cheek wasclosed by sutures. Bruns, in order to utilize the healthy por-tion of the mucous membrane, reflected fromthe inner surface of a diseased lower lip in making a vermilion borderfor the newly constructed labrum, circumscribed the morbid growth(Fig. 780 a) by carrying inward beneath and below it from the angleof the mouth an incision which, meeting another including the lip at. Fig. 780 «.—Brunss border plan.


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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900