Plastic surgery; its principles and practice . Fig. 405.—Operation for macrotia {Martino, Trendelenburg, and J. Joseph).—i. Awedge of tissue including the full thickness of the auricle of the necessary size, DKC isremoved. This reduces the length of the ear. In order to make the edge DK correspondin length with the edge CK, and at the same time to reduce the width of the ear, the tri-angles EFL and GMH are removed. If the lobule is also enlarged this is reduced by theexcision of the triangle of tissue ANB. 2. The edges FL to EL, and GM to HM, are firstsutured, then the edges DK to CK, and fina


Plastic surgery; its principles and practice . Fig. 405.—Operation for macrotia {Martino, Trendelenburg, and J. Joseph).—i. Awedge of tissue including the full thickness of the auricle of the necessary size, DKC isremoved. This reduces the length of the ear. In order to make the edge DK correspondin length with the edge CK, and at the same time to reduce the width of the ear, the tri-angles EFL and GMH are removed. If the lobule is also enlarged this is reduced by theexcision of the triangle of tissue ANB. 2. The edges FL to EL, and GM to HM, are firstsutured, then the edges DK to CK, and finally AN to BN. This is an excellent operation,inasmuch as it reduces the size of the ear in all its dimensions. Restoration of the Lobule.^—Absence of the lobule may be due tocongenital maldevelopment; it may also be found as the result ofoperation for the removal of a malignant growth, of ulceration or of SURGERY OF THE EAR 407.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky