Surgical therapeutics and operative technique . Fig. 87.—SuPERFioiAx Cutaneous Epi-thelioma OF THE Cheek. Outline of incisions for extirpation andformation of autoplastic flap. Fig. 88.—Superficiai, CutaneousEpithelioma of the Cheek. Vertical and transverse section showinghow the mucous membrane has Fig. 89.—Superficial Cutaneous Epithelioma of the of autoplastic flap. Operation—First Stage.—Resection of tumour and of subjacent mucousmembrane. Second Stage.—Formation of cutaneous flap to be folded back so as toreplace the mucous membrane, and suture of the marg
Surgical therapeutics and operative technique . Fig. 87.—SuPERFioiAx Cutaneous Epi-thelioma OF THE Cheek. Outline of incisions for extirpation andformation of autoplastic flap. Fig. 88.—Superficiai, CutaneousEpithelioma of the Cheek. Vertical and transverse section showinghow the mucous membrane has Fig. 89.—Superficial Cutaneous Epithelioma of the of autoplastic flap. Operation—First Stage.—Resection of tumour and of subjacent mucousmembrane. Second Stage.—Formation of cutaneous flap to be folded back so as toreplace the mucous membrane, and suture of the margins of this flap tothe buccal mucous membrane (Figs. 87 and 88). Third Stage.—Formation of autoplastic flaps destined to £l11 the wound,and subsequent reaction of two small cutaneous triangles, in order tofacilitate the coaptation (Fig. 89). 44 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Fourth Stage.—Coaptation and suture of autoplastic epithelioma of the internal and superior portion of thecheek, when involving the naso-genial groove, requires for the repair
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