Plastic surgery; its principles and practice . Fig. 401.—Gavellos operation for the reconstruction of the lobule (Laurens).-—Theauricle is pulled upward. In the skin immediately below the stump a flap one-third largerthan the lobule to be made as outlined, having its base EF on the cheek. The upper inci-sion HE is straight and is parallel to the border of the defect CE. The lower incision is adouble half-curve IDF, forming two scallops AB, as is shown in the diagram. The flapis raised and folded on itself, raw surface A behind to raw surface B, and the posterior andlower borders are sutured. T
Plastic surgery; its principles and practice . Fig. 401.—Gavellos operation for the reconstruction of the lobule (Laurens).-—Theauricle is pulled upward. In the skin immediately below the stump a flap one-third largerthan the lobule to be made as outlined, having its base EF on the cheek. The upper inci-sion HE is straight and is parallel to the border of the defect CE. The lower incision is adouble half-curve IDF, forming two scallops AB, as is shown in the diagram. The flapis raised and folded on itself, raw surface A behind to raw surface B, and the posterior andlower borders are sutured. Then the upper border CE is sutured to the denuded edge of theauricle, on the line CE. The defect from which the flap is raised can usually be closedafter undercutting the surrounding skin. SURGERY OF THE EAR 405.
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