On plastic operations for the restoration of the lower lip : and for the relief of several deformities of the face and neck / by Thomas P. Teale.

  • Teale, Thomas Pridgin, 1801?-1867.
Date:
1857
Catalogue details

Licence: Public Domain Mark

Credit: On plastic operations for the restoration of the lower lip : and for the relief of several deformities of the face and neck / by Thomas P. Teale. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    restricted; the mouth was permanently open; the tongue protruded ; the lower incisors projected hori- zontally, and there was constant dribbling of saliva. A transverse incision was made throughout the entire extent of cicatrix in front of the neck. The chin was then drawn upwards, and every tense band connected with the cicatrix was divided, until the head was relaxed nearly into its natural position. A flap of skin, three inches long and two and a half inches wide, was detached on each side from over the clavicle and chest. These were raised and united in front of the throat. The degree of improvement effected in this case, and tested by the lapse of four years, was highly gratifying. Subsequently to the performance of Mr. Carden’s operation, a similar proceeding was adopted in several cases, with great success, by Dr. Mutter,* of Phila- delphia. I have performed this operation in seven cases since August, 1848, and have witnessed it in some others by my colleagues at the Leeds Infirmary. In all the cases which I have seen there has been a marked and most satisfactory improvement in the movements of the head and neck. The displacement of the lip was also in a greater or less degree miti- gated by the operation on the neck, but in several of the cases this particular deformity remained to such an extent as to render a special operation for the restoration of the lower lip subsequently necessary. * British and Foreign Medical Review^ April, 1840.