Surgery of Deformities of the Face : Including Cleft Palate

Cover Surgery of Deformities of the Face : Including Cleft Palate
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r-:' . 1 I ^ Fig. 53 .—Unilateral hareUp showing characteristic flattening of nostril.
{Author's -patient.) Fig. 54. — Double harelip with pro- trusion of the intermaxilla.
{Author's patient.) or either alone may be fissured in a similar way. The lip at the edge of the labial fissure is usually short on the' side toward the middle of the mouth. This want of development must be remembered when operation is done to reconstruct the lip. Otherwise the surgeon will find an unseemly deformity even af
...ter the cleft has been united.
The lip must be lengthened from nostril to mouth, lest a deficiency or notch will be left in the contour of the oral margin. Sometimes the lip on one side of the fissure is thicker than on the other.
In harelip, complicated with cleft of the bony palate, there may be a projection forward of the intermaxillary bone. This protuberance is attached to the septum of the nose. It is often an irregular bulbous .process extending far beyond the surface of the cleft lip, with the accjlumella of the nose upon its upper surface.


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