MODIFIED QUirrOR OPERATION 



165 



47. MOBIFIED aUITTOR OPERATION 



A section of the horny wall is removed as in the Bayer 

 opeiatiou. 



A semicircular incision is made through the sensitive 

 laminae up to the coronary band, care being taken not to 

 injure the latter. This incision should be so made that 



FIG. 62. Modified Quittor Operation 



r. Cutaneous incision ; 2, incision through sensitive laminae ; 3, 

 coronary band ; 4, sensitive laminae flap ; 5, sensitive lamina border 

 to which flap is to be sutured ; 6, skin flap. 



there is left sufficient room between it and the horny wall 

 for the application of sutures in the sensitive laminae. 



The flap thus formed is then dissected away from the os 

 pedis and the lateral surface of the cartilage. By working 

 beneath this loosened flap, the coronary band may be sepa- 



