The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . Fig. Nose. —New Nose, day afterOperation. face. In doing this care must be taken—whilst a good base of attach-ment is left—not to remove the parts too widely, lest tlie cheeks, byseparating, have a tendency to gape too much, and the nose to becomeflattened out. The integuments also should be dissected away in suclia manner as to form a deep groove shelving inwards, so as to receiveand hold the flap moie securely and with less overlapping of the operation must now be discon
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . Fig. Nose. —New Nose, day afterOperation. face. In doing this care must be taken—whilst a good base of attach-ment is left—not to remove the parts too widely, lest tlie cheeks, byseparating, have a tendency to gape too much, and the nose to becomeflattened out. The integuments also should be dissected away in suclia manner as to form a deep groove shelving inwards, so as to receiveand hold the flap moie securely and with less overlapping of the operation must now be discontinued for a few minutes until allbleeding lias ceased, and the cut surfaces have become glazed ; this pointis of great importance in secur-ing direct adhesion, and must becarefulh^ attended to. The bleed-ing having been arrested by ex-posure to the air, and by tiietorsion rather than the ligatureof any spouting branch, the flapfrom the forehead should bebrought down by a twist fromleft to riglit, and attached by afew points of fine suture on eachside to the edge of the incision,around t
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