Plastic surgery; its principles and practice . Fig. 466.—Operation for complete loss of nose (Linhart).—This operation is quitesimilar to the Labat-Blasius operation, and is done in two stages, the flap being turnedunder in the same manner. The advantage is that the oblique incisions form the alee,which are less thick, the nostrils are not so narrow, and the septum (columna) is betterformed. The French Method (The Method of Celsus) Sliding flaps from adjacent tissue should not be used alone in totalnose reconstruction. I have found the method very valuable however. Fig. 467.—Operation for comp
Plastic surgery; its principles and practice . Fig. 466.—Operation for complete loss of nose (Linhart).—This operation is quitesimilar to the Labat-Blasius operation, and is done in two stages, the flap being turnedunder in the same manner. The advantage is that the oblique incisions form the alee,which are less thick, the nostrils are not so narrow, and the septum (columna) is betterformed. The French Method (The Method of Celsus) Sliding flaps from adjacent tissue should not be used alone in totalnose reconstruction. I have found the method very valuable however. Fig. 467.—Operation for complete loss of nose (Blasius).—This double lateral frontalflap operation is extremely useful at times. The flaps DCBA, and KGFWA, are dissectedup, and turned downward and inward, so that skin surface is outward. P is in the midlineto form the columna. N is sutured to the base of P. The points M and O form the outerends of the alae. in the repair of smaller defects, and when used in conjunction with theother methods, in forming a lining for the defect or in covering the rawsurface of another flap (Fig. 468). SURGERY OF THE EXTERNAL NOSE 443 The Italian Method The history of the development of this method has been consideredin another section. A pedunculated flap from the arm, applied withraw surface inward, was first used by Tagliacozzi; later on by Fabriziand others, the forearm was utilized. The transfer has been made fromthe chest, or abdomen, to the forearm (Steinthal), and then to the modification is the transfer of a flap from the breast
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
