Surgery And Diseases of the Mouth And Jaws; a Practical Treatise On the Surgery And Diseases of the Mouth And Allied Structures

Cover Surgery And Diseases of the Mouth And Jaws; a Practical Treatise On the Surgery And Diseases of the Mouth And Allied Structures
Surgery And Diseases of the Mouth And Jaws; a Practical Treatise On the Surgery And Diseases of the Mouth And Allied Structures
Blair, Vilray Papin, 1871-
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Fig. 246.
Fig. 247.
Fig. 246. Diagram of defect in hard palate.
Fig. 247. Restoration of defect shown in preceding figure, showing relative extent of the lateral incisions.
PERFORATIONS OF THE PALATE.
When not due to gunshot injuries, these are nearly always syphi- litic and may vary from linear defects, surrounded by absolutely normal tissue, to loss of most of the palate processes and all of their mucous coverings.
Small defects in the palate, up to the size of the end of a finger, are easily
... closed by making a lateral incision down to the bone on each side as close to the teeth as is possible without exposing the necks.
The mucoperiosteal covering is raised, as in making flaps for repairing a congenital cleft. The edges of the defect are freshened and sutured together (Figs. 240 and 247). If the palatine arteries are uninjured 278 SURGERY OF THE MOUTH AND JAWS.
and have been raised with the flap, the lateral incisions may be made to approach each other very closely in front. These perforations extend into the nose ; the nasal discharge may be prevented from accumulating above the palate flap, and drainage is assured by passing a piece of rubber dam from the mouth through the lateral incision between the flap and the bone on each side.


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