A new operation for harelip / by Christian Fenger.

  • Fenger, Christian, 1840-1902.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: A new operation for harelip / by Christian Fenger. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    A NEW OPERATION FOR PIAREEIP. BY CHRISTIAN FENGER, M.D., OF CHICAGO, ILL. In all forms of harelip (labium leporinum, whether single or bilateral, whether partial or total, whether combined with cleft inter-maxillary bone or not), we find not an excess, but rather a defect of labial tissue, mucous membrane, pro- labium and skin. The two portions of the upper lip, when brought together, are too small to form a lip of normal shape ; it would require the in- terposition of a triangular piece of lip with apex towards the nose and base toward the border of the lip, to obtain at once a lip of normal shape. The tissue defect is greatest in the skin, less manifest in the mucous membrane and prolabium; still in the majority of cases of complete harelip, the defects in these tissues also may be consid- erable. It would thus seem natural to select a method of operating by which no tissue should be lost. In all the older methods the so-called “freshen- ing” of the surfaces to be united requires the removal of at least a part of the prolabium, in