Plastic surgery; its principles and practice . ose by the modified Indian method(Keegan).—The flaps CABD, and GEFH, are raised and turned down. (There is nonecessity of having a space between these flaps.) Where they overlap. Smith, insteadof trimming the edges (as Keegan does) inserts the flap as a scroll, raw surface to rawsurface, and after spHtting the old septum from the insertion of the original columnaupward, he stitches each one into its respective side of the split septum, and brings theraw surfaces together with a few sutures, thus forming a septum as well as a lining to thenose. The
Plastic surgery; its principles and practice . ose by the modified Indian method(Keegan).—The flaps CABD, and GEFH, are raised and turned down. (There is nonecessity of having a space between these flaps.) Where they overlap. Smith, insteadof trimming the edges (as Keegan does) inserts the flap as a scroll, raw surface to rawsurface, and after spHtting the old septum from the insertion of the original columnaupward, he stitches each one into its respective side of the split septum, and brings theraw surfaces together with a few sutures, thus forming a septum as well as a lining to thenose. The forehead flap is then brought down and fitted as usual. Fig. 477.—Operation for the reconstruction of the nose by the modified Indian method(Thiersch).—The flaps A and B with base adjacent to the nasal defect are raised, reflected,and sutured together in the midline, epithelial surface downward. Then the frontal flapis brought down to cover the raw surface. The nostrils are formed and the skin defectsare either sutured or skin Fig. 478.—Operation for the reconstruction of the nose by the combined Italian andIndian methods (Kiister).— i and 2. A flap is raised from the inner anterior portion of thearm with its base upward. It is sutured into the nasal defect with skin surface pedicle is severed after from 10 to 14 days, and the raw surface is covered with ananterior flap from the forehead (or with a skin graft). 448 PLASTIC SURGERY with the skin surface outward to cover the flap first appKed. Thereconstruction of a total loss of nose by this method, although animprovement on the single flap, is also unsatisfactory without theemployment of a proper support. NANiY-^,
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
