Plastic surgery; its principles and practice . I 2 Pig. 715.—Method of reconstructing a gap in the trachea.—i. The dark lines indicatethe incisions through which the pieces of cartilaginous rib were implanted parallel to thedefect. The dotted lines indicate the location of the notched cartilage. The perichon-drium is outward. The inserts show the method of notching the cartilage in order to giveit more flexibility. More than one piece of cartilage may be implanted on each side ifnecessary. 2. The dark lines indicate the flaps with their bases toward the midline. Theinsert shows the flap turned
Plastic surgery; its principles and practice . I 2 Pig. 715.—Method of reconstructing a gap in the trachea.—i. The dark lines indicatethe incisions through which the pieces of cartilaginous rib were implanted parallel to thedefect. The dotted lines indicate the location of the notched cartilage. The perichon-drium is outward. The inserts show the method of notching the cartilage in order to giveit more flexibility. More than one piece of cartilage may be implanted on each side ifnecessary. 2. The dark lines indicate the flaps with their bases toward the midline. Theinsert shows the flap turned in and sutured, the edge AB to the edge AB. The raw sur-face may be grafted, but a pedunculated flap is I 2 Fig. 716.—Method of closing a large chest defect by extensive undercutting and shift- iing the surrounding skin (Morestin).—i. The shaded area indicates the defect. Thedotted line shows the extent of the undercutting necessary in order to close the skin overthe defect. 2. The edges sutured and the wound covered. SURGERY OF THE NECK, TRUNK, AND EXTREMITIES 619 to the remains of the thyroid cartilage. In the repair of large gaps inthe trachea the operations are multiple, and the results are only small gaps involving only a portion of the tracheal rings, results aremuch better (Fig. 715). In tracheal fistulae in which not more than one-third of the circum-ference of one or two of the cartilage rings has been destroyed, I havebeen able, experimentally, to close the defect with a graft of fascia lata
Size: 1793px × 1393px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
