Annals of surgery . issure of the lips. In this way the integument ofthe cheek was turned outside in two turns and the out-side wound was covered with a flap from the neck. [Langeti-becks Archiv xxi, s. 526. The method of Israel and Hahn, mentioned before, intendsthe same but more simply. Besides this, both methods, aswell Italian as Indian, will be still more simple, if combinedwith Thierschs skin-grafting. In that case one flap will do of 12 J. A. KORTEWEG. which the raw surface is covered with small pieces of epider-mal skin, either before or after the transplantation. Enoughto show how far
Annals of surgery . issure of the lips. In this way the integument ofthe cheek was turned outside in two turns and the out-side wound was covered with a flap from the neck. [Langeti-becks Archiv xxi, s. 526. The method of Israel and Hahn, mentioned before, intendsthe same but more simply. Besides this, both methods, aswell Italian as Indian, will be still more simple, if combinedwith Thierschs skin-grafting. In that case one flap will do of 12 J. A. KORTEWEG. which the raw surface is covered with small pieces of epider-mal skin, either before or after the transplantation. Enoughto show how far the sphere of meloplasty is extended in har-mony with the sphere of plastic operations generally, and evenbeyond the dreams of our predecessors. This is due to anti-septic surgery. But it may be that an aseptic course willnever be a dead certainty. For this reason, I venture to com-municate a method of meloplasty of which the results may beexpected with still more confidence, as the nutrition of the flapis Fig. I.—Diagram Showing Construction of —Upper Lip. 2.—Lower Lip 3.—Chasm. A, A^ and B, W, points approximated. M. Bloks, aet, 45, about a year ago perceived an affection of the in-side of the left cheek, and for a few months has felt radiating pain inthe left part of the face, in the neck and in the occiput. There existsan ulcus papillomatosus covering the whole inside of the left cheekfrom close to the angle of the mouth as far back as the soft palateand at a few places extending on the gum. In pressing this ulceratedtumor,numerous small white bodies come in sight,which microscopicallyappeared to be polymorphous epithelial cells. The front part of thetumor is slightly attached to the skin The glands are swollen behindthe angle of the lower jaw. On January 27, 1890, extirpation of swol-len glands was performed, the submaxillary gland included. Then ex-tirpation of the tumor. For this, the cheek is divided from the com . MELOPLASTY. 33 missure of th
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
