the parts 
con Ui 
same point with the other. By this means, if the dperation is right: - ss 
ly done, a piece will be cut out of the form of thedetter V inverted: 
cc go So 
“surgeon. is how to see 
that the two sides of the cut correspond “exactly together; and 
this being done; the pins intended to support them in this position, 
should be introduced. The first pin should be near to the low 
edge of the lip. In adults, uld be in 
middle of the cut, and a third near to ‘cut. 
to ott uéars 
ly half an inch from the cut, and passing through the whole sub- 
stance of the lip, brought out at an. equal distance on the other side: 
The assistant should ‘now push forward the cheeks, and havin 
it to such tightness as to confine the parts in cont 
A piece of lint covered w one | : 
_ ‘How be applied over the cut to protec | 
the ends of the pins; to prevent them from being” 
bed elo ves, Gic. It may be well also, to keep the chee ‘ 
with a banduge, to prevent irritation from the pins. z 
It is scarcely necessary to observe, that while‘the pins are in 
lip, the patient should be fed upon spoon meat, and be prevented 
laughing, or crying, or stretching his mouth in any tanner: — 
The pins having remained in the lip five or six days at farthe 
“should be taken out; as the parts are by that tinie tnited, and by 
remaining longer they are apt to create marks; "= a 
Tf would here mention, that in order to 
in the healing of any wounds, I have fo 
oto Very effectual. 92 ae 
a * 
incision’ for the cutting off th t ie , may 
with a pair of strong and firm Scissors - and perhaps this me= 
attended with less pain, because it could be 
o on, till the whole is finished ; 
points should be spear shaped and n 
perhaps it would be better to have movea 
pins, which can be removed after the insertion. — 
What I have hitherto said relates to the disease j 
m. _{n the case of a double hate lip, the operation re 
twice parts ; first in one re, and 
eS 
