Surgical therapeutics and operative technique . Fig. 186.—Loss OF Substance produced in Ablation of an Epithelioma of theFace which had involved the Superior Maxilla. The operation is carried out in a series of successive seances. When theloss of substance has been very -extensive, reconstitution of the inner wallof the cheek is necessary. I will describe the operation as suited to the caserepresented in Fig. 186. Reconstitution of Inner Aspect of the Cheek—First Intervention—FirstStage.—Mobilization of a cutaneous flap of suitable form and dimensionsraised from the antero-internal aspect of t
Surgical therapeutics and operative technique . Fig. 186.—Loss OF Substance produced in Ablation of an Epithelioma of theFace which had involved the Superior Maxilla. The operation is carried out in a series of successive seances. When theloss of substance has been very -extensive, reconstitution of the inner wallof the cheek is necessary. I will describe the operation as suited to the caserepresented in Fig. 186. Reconstitution of Inner Aspect of the Cheek—First Intervention—FirstStage.—Mobilization of a cutaneous flap of suitable form and dimensionsraised from the antero-internal aspect of the arm of the same side; theepidermal surface is made to form the wall of the buccal cavity. Second Stage.— Suture of this flap to the mucous membrane, the marginsof which have been vivified, and reconstitution of the free border of thelip (Fig. 187).. Fig. 187.—Reconstitution of Inner Wall of Cheek by Suture of a BrachialCutaneous Flap, the Epidermis of which is turned towards the BuccalCavitt.
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Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative
