Plastic surgery; its principles and practice . Nasal septal cartilage & Cellular tissue of ala Fig. 440.—Inferior view of the external nose, showing its cartilages (Morris). Losses of Substance Loss of substance may be on the side or on the bridge of the destruction may be superficial or through the thickness of thenose, and may be slight or extensive. The superficial destructions arebest treated with skin grafts, or with sliding flaps, according to the. I 2 3 Fig. 441.—Operation for the closure of a lateral nasal defect (Cole).—i. The dottedline indicates the hinged flap which is tur
Plastic surgery; its principles and practice . Nasal septal cartilage & Cellular tissue of ala Fig. 440.—Inferior view of the external nose, showing its cartilages (Morris). Losses of Substance Loss of substance may be on the side or on the bridge of the destruction may be superficial or through the thickness of thenose, and may be slight or extensive. The superficial destructions arebest treated with skin grafts, or with sliding flaps, according to the. I 2 3 Fig. 441.—Operation for the closure of a lateral nasal defect (Cole).—i. The dottedline indicates the hinged flap which is turned in and sutured to line the cavity. 2. Theflap in position. 3. A scalp flap covering the raw surface. The flaps are closely heldtogether with mattress sutures. Later the pedicles are severed and the ends fitted intoposition. situation. If there is perforation and the opening is small, the edgesmay be turned in and the defect covered with a sliding flap. If theopening is large, a double flap may be necessary from the cheek andforehead, one lining the defect, the other covering the surface. Ifthe defect is on the bridge of the nose, or if the transplanted soft parts SURGERY OF THE EXTERNAL NOSE 431 in a lateral defect are likely to need support, cartilage must be trans-planted between the skin surfaces. For closing these defects I haveused folded flaps and also flaps whose under surfaces were grafted,taken from distant parts and from the neighborhood
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
