War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . - instances are syphil-itic. The bilateral drooping of the upper eyelids often seen inhysteria must not be mistaken for ptosis requiring operativetreatment. If it is found that medicinal treatment, even when combinedwith the local use of electricity, has not been effectual in relieving. Fig. 223.— Robertss muscle substitution operation for congenital
War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . - instances are syphil-itic. The bilateral drooping of the upper eyelids often seen inhysteria must not be mistaken for ptosis requiring operativetreatment. If it is found that medicinal treatment, even when combinedwith the local use of electricity, has not been effectual in relieving. Fig. 223.— Robertss muscle substitution operation for congenital ptosis onleft eye. This improvement continued as was shown when patient was ex-amined two years afterward by operator. See Fig. 225 on page 393. ptosis, operative attack is proper. The natural elasticity of theskin of the lid and the deficient power of the elevator muscles inmany cases make the permanency of the surgical improvementoften disappointing. Many operations have been employed togive the patient control of the lid. The impossibility of openingthe eye completely is not only a disfigurement, but may interferewith the vision of the eye or eyes from the pupil being coveredcontinually. The removal of a transverse ellipse of skin, with the subcuta-neous connective tissue, from the drooping lid, would seem tobe indicated. This procedure is of little permanent service, how- REPAIR OF TRAUMATIC DEFORMITIES OF EYELIDS AND GLOBE. 391 ever, even if some of the fibers of the orbicular muscle be excisedwith the skin and su
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
