Plastic surgery; its principles and practice . Fig. 489.—Mandrys operation for reconstruction of the nose (Beck).—i. A large flapwith^its base on the shoulder and its free end over the sternoclavicular articulation is markedout. Then the skin is dissected above and below to the sternal end of the clavicle, and apiece of bone AA, X cm. (1:^5 X ^i inches) is raised with the overlying skin. Aflap of skin CDDC is raised, its base being on the line CC, and is folded under and coversthe bone on both sides with full thickness skin. The defect is closed. The flap is allowedto drop back into it
Plastic surgery; its principles and practice . Fig. 489.—Mandrys operation for reconstruction of the nose (Beck).—i. A large flapwith^its base on the shoulder and its free end over the sternoclavicular articulation is markedout. Then the skin is dissected above and below to the sternal end of the clavicle, and apiece of bone AA, X cm. (1:^5 X ^i inches) is raised with the overlying skin. Aflap of skin CDDC is raised, its base being on the line CC, and is folded under and coversthe bone on both sides with full thickness skin. The defect is closed. The flap is allowedto drop back into its bed. 2. Four days later the flap is raised throughout its length, thenasal margins are freshened and the flap is sutured in position. One week later the pedicle,is severed, and the nose is shaped in due time. The criticism of the operation is that in aflap of this length the cutting of a window of skin will jeopardize the blood supply, and thiswill also happen if the second and third operations are performed too
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
