. Manual of operative surgery. Figs. 330 and 331.—Schimmelbuschs operation. flap and twist the latter into position. With sutures unite the edges of the flapto the freshened edges of the nasal defect. When freshening the edges of thenasal defect, it is easy to form flaps of tissue which may be used to form a septumfor the nostril (Fig. 332). E. Lexers Operation.—As Schimmelbuschs operation is based on Konigsso is Lexers on Schimmelbuschs. Lexer (Archiv fiir klin. Chir., xcii, 749)recognizes that after complete rhinoplasty it is most difl&cult to breathe throughthe nose because of contraction o
. Manual of operative surgery. Figs. 330 and 331.—Schimmelbuschs operation. flap and twist the latter into position. With sutures unite the edges of the flapto the freshened edges of the nasal defect. When freshening the edges of thenasal defect, it is easy to form flaps of tissue which may be used to form a septumfor the nostril (Fig. 332). E. Lexers Operation.—As Schimmelbuschs operation is based on Konigsso is Lexers on Schimmelbuschs. Lexer (Archiv fiir klin. Chir., xcii, 749)recognizes that after complete rhinoplasty it is most difl&cult to breathe throughthe nose because of contraction of scar tissue. Before opera-tion the disease causing the deformity (sj^Dhilis, tubercu-losis) has caused much destruction of tissue and recoveryhas taken place by the filling in of ulcerations and defectswith granulation tissue which has contracted until thepyriform opening has become small and distorted and nasalrespiration is poor. Before attempting to form a newexternal nose the freedom of the air passage must beass
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