DISEASES OF THE LATERAL CARTILAGES 353 
the coronary cushion, and a portion of the sensitive lamine 
(see Fig. 139). 
The flaps (Fig. 139, a, a) are now held back by tenacule, 
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 
Fig, 139,—Excision or THE LATERAL CarTiLace (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. ee 
a, The operation flaps ; 6, the exposed cartilage ; ¢, the sensitive lamine ; 
d, the coronary cushion. 
fallinto positiun. 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 R. Paine, M.R.C.V.S., in the Journal of Comparative 
Pathology and Therapeutics, vol. xv., p. 81. 
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