Plastic surgery; its principles and practice . eks later the incisions which outline the pedicle are gradually lengtheneda little at a time, until the inner angle of the eye is reached on one side, and the nasalopening on the other (Pig. 485A). Through the latter incision separate the skin fromthe root of the nose until the midline is reached, and it becomes possible to twist the pedicleinto position without tension. From the under surface of the flap raise a narrow skin flapto form the columna, and through the same incision divide the bone longitudinally and foldit like a roof (Pig. 485B). Fr
Plastic surgery; its principles and practice . eks later the incisions which outline the pedicle are gradually lengtheneda little at a time, until the inner angle of the eye is reached on one side, and the nasalopening on the other (Pig. 485A). Through the latter incision separate the skin fromthe root of the nose until the midline is reached, and it becomes possible to twist the pedicleinto position without tension. From the under surface of the flap raise a narrow skin flapto form the columna, and through the same incision divide the bone longitudinally and foldit like a roof (Pig. 485B). Freshen the edges of the nasal defect and suture the flap intoposition. The cartilage may be implanted in the proposed frontal flap, aboveor below the periosteum, and allowed to remain for several weeks before SURGERY OF THE EXTERNAL NOSE 453 the flap is raised. Ordinarily quite a narrow piece is implanted, butone or more wide pieces shaped as desired may be inserted with ad-vantage. Cartilage may be inserted in any desired position into a flap. Fig. 486.
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