HARE-LIP, 
with his nails in pntearenrog ‘to hold: the lip. We 
have feen forceps ufed operation with. the blade; 
whic hi is put ie the Fp. sah wider than that which is 
external, and which is made to fhut upon t 
B this means the lip is fo fixed, that Ps cannot flip 
inward away from the knife, which, in fact, cuts upon the 
* flat furface of the under blade of the ped while the edge 
ar the upper blade ferves to guide the ftroke of the inftru- 
ment, as well as to keep the part fixed. 
Tt cannot a sae indeed, that the practitioner is not 
conftantly able, by obferving any , aR ade to take away 
the edge of the fiffure, on one fide or the other, by a fingle 
ae ion, and he is fometimes obliged to be content with re- 
wile as little fubftanceas poflible. He mutt alfo take care, 
holds the lip, not to ftretch the part too much, nor 
diately the lip: is loofened ; and the furgeon muft always 
have in view the b bringing of the edges of the wound into 
conta With the forceps it will be found a very 
eafy matter. ‘td oblerve thele things, though mere — 
fome when the lip is held with the fingers. Laftly, it 
eflentially eceliany | to make the upper angle = tbs wound 
quite even, a to terminate in a point. an 
ularity, or any {mall piece of flefh left shake, she des of 
the incifion cou not touch in fuch fituation, and an open- 
ing would be left. When the fiffure oie completely 
© one of the noftrils, 5 is, indeed, n the furgeon’s 
pone oF 8 the wound ‘ triangular . aes but hée-mutt 
at ni of the cleft, -¢ on both fides, 
; on, tS a dees de l’ Acad. de Chirurgie ee Pati 
ey eeety aaa a that. iia 
o inflame and 
eth up in a very fhort tim 
rceps for pave = ‘apporting the the tip at. the 
Noi Sie es re,other 
aii a 
in ed Yo Rion ace be ieeabit of 
7 ucing under the w Jip, as bss 
a piece Ty thick paite oe ch and a 
twelve to 2 fifteen lines broad; and cut intoa eae fhape 
f were t pelle 
at a ea 
middle of the - 
irre-_ 
ut ioe Bee likewife ina few. 
Upon this a ein of ites * the a ions. 
awn a litth oy 5 phate 
fides of the wound, is ufually sg ae sears wae means of ~~ 
a particular conftruétion 
te beicn 
= Soe eax. be. aioe wi 
n pins are 
the patient from drawing ‘the lip backward, and fe rating 
the edges of the fiffure from each other. Some furgeons = 
nia the ufe ~f the forceps to that of baficheands 
onvenient, and ferving not only to fix the lip an airetd 
die knife, eit kisvs likewife an under broad blade, maki 
a flat furface, upon which od roars of the fiffure refts, ind 
with the knife can be eatily c 
Although . aa beit bi nd of the preg day i 
England of a biftoury mitead o: se foe the 
latter inftrument is till vere ae Bi in fome very ‘eae 
ake a to me the mot elit 
o-y 
iat 
a8 
e 
oe 
et 
~ 
oO, 
peat 
s 
oO 
re] 
ct 
o 
s 
eo expe f removing one edge of the 
he ‘ite = a other witha pair of fciffars, 
and lie Aad ‘that there 
wards on one fide than the ‘ile: It is ur 
feiffars, that they make an incifion more quickly than the 
knife, a circumftance of importance in operating upon reft- 
lefs children. The advocates for fei upon this principle, 
explain their affertion, that patients complain of lefs pain 
when cut with this inftrument, than when 
26 iT 
fciffars than by one of até 
edly applied before the objeé&t can be effected. cy 
recommend ufing the fharpeit fciffars which 
can be procured. — further itate, that cafes are 
met with, in which the rele extends ute Pd 8 the noftril, 
and in which a piece of patte nuated un- 
der the lip, as high as its neceflary to sae he incifion. 
Here they fay the knife cannot be made ufe of, and it is re- 
quifite to feparate the lip freely from the gums on both fides 
= — a — untruly declare that a fealpel is an in- 
enient inftrument for removing a cancer of, the lower lip. 
They essere “that a knife onght not to” be ufed on 
young infants. y fay, that in cafes of double pate Ds 
it is difficult, and even impra ble, to cut off witha 
toury the edges of the middle portion of | the lip, which is 
a in ane exceedingly moveal 
do no 
it neceflary to enlarge the picket artic, 
shor intoa Fein refutation of the foregoing obferva- 
Cit it be ciflars contufe as well as. cut, 
and that a‘fharp knife makes a cleaner ‘more fimple inci- 
fibn, the tent inftrument ought to have the 
in faé& it h cases our belt operators. . We tate ieen 
the knife nfed Bing 
or he union “as 
ase panied ah 
twitted future, for which pins 
> made. -Thefe'muft be 
peace 
oe 
