MAAS METHOD.] =Haagedorn Method.=—Haagedorn’s method is very similar to the above except that in cutting square the inferior border of the median portion he fashions it into a triangular form, with the object of giving to the prolabium the tiplike prominence found in the normal lip, and also avoiding the cicatricial notch obtained with the direct suturing of the vermilion border on a line with its inferior limitation. The various steps of his method are shown in Figs. 191, 192, 193. If there be considerable absence of lip tissue he advises making two lateral incisions sufficient to overcome the tension on the parts. These secondary wounds are allowed to heal by granulation. [Illustration: FIG. 191. FIG. 192. FIG. 193. HAAGEDORN METHOD.] =Simon Method.=—Simon utilizes two curved lateral incisions encircling the alæ of the nose. This permits of a ready juxtaposition of the lateral flaps (see Fig. 194). The two flaps are sewn to the median flap (see Fig. 195) and are allowed to heal into place, the secondary wounds healing by granulation. When this has been accomplished, a later operation is undertaken to correct the prolabial border, the incision for which and the disposition of the suture are shown in Fig. 196. [Illustration: FIG. 194. FIG. 195. FIG. 196. SIMON METHOD.] This operation is useful only in older children, and has the disadvantage of requiring a secondary interference. The results are not as good as those obtained with the operations mentioned previously, leaving, besides, a disfiguring cicatrix at either border of the alæ, a serious objection, especially to the cosmetic surgeon. POST-OPERATIVE TREATMENT OF HARELIP When the operation has been performed in the infant the wound is simply kept clean by the local use of warm boric-acid solutions and the mouth is cleansed from time to time by wiping it out with a piece of gauze dipped into the solution. Children do not bear dressings of any kind well, although Heath employs strips of adhesive plaster to draw the cheeks together to relieve tension on the sutures. To keep the child from tearing or picking at the wound Littlewood advises fixing both elbows in the extended position with a few turns of a plaster-of-Paris bandage. Everything should be done to keep the child quiet, as crying often results in separating the wounds. This is accomplished by giving it milk immediately after the operation. The mother must ply herself closely in soothing the child by carrying it about, rocking, and feeding it. The feeding should be done with the spoon. Dark-colored stools containing swallowed blood will be passed in the first twenty-four hours; to facilitate this a mild laxative, such as sirup of rhei, can be given. In older children a compressor can be applied to the head. That of Hainsley, shown in Fig. 197, answers very well, yet adhesive plaster dressings, if carefully removed later, are most commonly used. [Illustration: FIG. 197.—HAINSLEY CHEEK COMPRESSOR.]