DISEASES OF THE LATEKAL CAETILAGES 353 



the coronary cushion, and a portion of the sensitive laminae 

 (see Fig. 139). 



The flaps (Fig. 139, a, a) are now held back by tenaculte, 

 and the whole of the cartilage, or only the necrosed portion, 

 carefully excised by means of right- and left-handed sage- 

 knives. Fistulous openings in either of the flaps a, a must now 

 be carefully curetted and dressed, and the flaps allowed to 



TEKAL Cartilage (Old Method). 



The wall covering the lateral cartilage first thinned and stripped off; 

 the two flaps (a, a) of skin and the coronary cushion made by the 

 vertical incision turned back. 



a. The operation flaps ; h, the exposed cartilage ; c, the sensitive laminic ; 

 d, the coronary cushion. 



fall into position. They are then sutured with carbolized gut, 

 and the wound finally dressed as to be described later (p. 357). 

 Second Method {after Moller and Frick*). — These operators 

 deem it wise to leave untouched the skin of the coronet and 

 the coronary cushion. They therefore make their first 



* Two cases of quittor successfully treated by this method are 

 reported by K. Paine, M.E.C.V.S., in the Journal of Comimrative 

 Patliologij and Therajieutics, vol. xv., p. 81. 



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