Plastic surgery; its principles and practice . sutured into position. The skinincisions are then closed. The posterior belly of the digastric musclehas been used for the same purpose in much the same manner. The Use of a Pedunculated Flap of the Anterior Portion of the Mas-seter Muscle (A. Jianu).—The use of a muscle flap from the massetermuscle is much simpler, and seems to me more rational. (The mas-seter is supplied by the masseteric branch of the fifth nerve.) Themasseter muscle is exposed through a curved incision following the edgeof the inferior maxilla, and its anterior portion is sepa
Plastic surgery; its principles and practice . sutured into position. The skinincisions are then closed. The posterior belly of the digastric musclehas been used for the same purpose in much the same manner. The Use of a Pedunculated Flap of the Anterior Portion of the Mas-seter Muscle (A. Jianu).—The use of a muscle flap from the massetermuscle is much simpler, and seems to me more rational. (The mas-seter is supplied by the masseteric branch of the fifth nerve.) Themasseter muscle is exposed through a curved incision following the edgeof the inferior maxilla, and its anterior portion is separated from thebone as a flap with its pedicle above. The skin is retracted, under-mined if necessary, and the flap in one piece is sutured to the orbicularisoris at the angle of the mouth or, if split, is sutured above and skin is closed (Figs. 701-702). Lexer approaches the masseter through an incision in the naso- 6oo PLASTIC SURGERY labial fold; he raises a flap similar to that just described, and insertsit in the same
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