Plastic surgery; its principles and practice . Fig. 317.—Hernia of the brain following a decompression for the relief of an abscess ofthe temporal lobe. (Surg. No. 28923).—i. Before grafting with small deep grafts. week after grafting. .The skin rapidly covered the tumor and simplified the care ofthis patient. Experimentally I have found that the fascia when applied in eitherof the ways described above, eventually blends with the surroundingtissues, and forms a taut, non-stretching membrane. Skin.—Begouin has described an ingenious method of utilizingpedunculated flaps of the scalp for c
Plastic surgery; its principles and practice . Fig. 317.—Hernia of the brain following a decompression for the relief of an abscess ofthe temporal lobe. (Surg. No. 28923).—i. Before grafting with small deep grafts. week after grafting. .The skin rapidly covered the tumor and simplified the care ofthis patient. Experimentally I have found that the fascia when applied in eitherof the ways described above, eventually blends with the surroundingtissues, and forms a taut, non-stretching membrane. Skin.—Begouin has described an ingenious method of utilizingpedunculated flaps of the scalp for closing a cranial defect, which is. Pig. 318.—Cranioplasty for a small defect by the use of scalp flaps {Begouin).—The arrowsshow the flaps of scalp split off on the under surface and turned into the defect. appropriate for small defects when cartilage cannot be utiHzed. Thismethod is well shown in the diagram and will require no further explana-tion. It is important after closure by this method to exert even pres-sure to obhterate dead spaces (Fig. 318). AS APPLIED TO THE VARIOUS REGIONS 355 (5) Cartilaginous Grafts.—Autografts from the costal cartilagesare preferable, but good results have been reported from the use ofisografts. The technic in brief is as follows: The incision best suited to thecase is made down to the subaponeurotic layer and the defect is island of scar is excised, but care should be taken during the dis-section not to perforate or disturb the thin fibrous tissue plug whichfills the dura defect. Cut through the pericranium around the edge ofthe bone defect and clear the edges of al
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
