Plastic surgery; its principles and practice . Fig. 617.—Operation for the reconstruction of the lower lip (Berger).—i. The dottedline indicates the incision made to turn back a flap of scar to line the lip. 2. The flap turnedup. SECONDARY RESTORATION OF THE LOWER LIP The restoration of the lip in old losses of substance, in which healinghas taken place, brings in the problem of dealing with tissues which aremore or less infiltrated with scar. Polaillon excised the scar and used. Fig. 618.—Operation for the reconstruction of the lower lip, continued (Berger, afterNelaton and Ombredanne).—A ped
Plastic surgery; its principles and practice . Fig. 617.—Operation for the reconstruction of the lower lip (Berger).—i. The dottedline indicates the incision made to turn back a flap of scar to line the lip. 2. The flap turnedup. SECONDARY RESTORATION OF THE LOWER LIP The restoration of the lip in old losses of substance, in which healinghas taken place, brings in the problem of dealing with tissues which aremore or less infiltrated with scar. Polaillon excised the scar and used. Fig. 618.—Operation for the reconstruction of the lower lip, continued (Berger, afterNelaton and Ombredanne).—A pedunculated flap from the arm covering the raw the apparatus holding the arm in position. a flap of normal skin from the chin with its pedicle above at the edge ofthe defect. This flap was turned up and used to line the lip, and lateralflaps from the cheek were shifted in to cover it. In defects of this character one mav utilize the scar tissue to line SURGERY OF THE LIPS 539 the lip. This was first carried out by Berger. He dissected up aflap of the scar with its base above and turned it upward to line the pedunculated flap from the arm was then used to cover the rawsurface. The use of scar tissue to line the lip is a doubtful procedurebecause, in order to insure circulation, it must be cut so thick that arigid flap is formed which is difficult to handle. One is nearly alwaystempted to try this method as it is apparently so simple, but here alsothe r
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
