Fig. 457
Operation for double hare-lip: the sutures in position.
Hare-lip pins have been abandoned. Sutures only are used, which may be of thread or horse-hair, catgut absorbing too rapidly. It is my custom to pass a retaining suture of stout silk through the cheek on either side, at a distance of one inch or so from the wound margin, to bring this forward in front of the alveolar process, and, by using a plate and shot on either end, to prevent tension upon the line of junction. This is very important, for children will fret and cry in a manner to tear out many a stitch not thus fortified. After operation young children should be snugly enclosed in a protective bandage around the chest, by which it shall be made impossible for them to get their hands to their mouths. It is vitally necessary to maintain absolute rest of the face and protection from any possible source of harm.
Fig. 458
Fig. 459
Line of incision, according to König.
Fissures of the lower lip are surgical curiosities. Should one be met it may be treated on the same general principles.