Plastic surgery; its principles and practice . r-^m^^^ Pig. 358 and 359.—Hasners operations for the repair of an angular loss of substance,external or internal, by the use of a split or notched flap (Beard).—The dotted lines indi-cate the incisions outlining the flaps, and for the excision of the growth. The bifurcatedflap b is raised from the outer or the inner side, depending on the situation of the loss ofsubstance, and is transplanted and sutured as shown in the I 2 3 Fig. 360.—Richets operation for the restoration of the commissure (Beard).—i. Thedotted lines show the
Plastic surgery; its principles and practice . r-^m^^^ Pig. 358 and 359.—Hasners operations for the repair of an angular loss of substance,external or internal, by the use of a split or notched flap (Beard).—The dotted lines indi-cate the incisions outlining the flaps, and for the excision of the growth. The bifurcatedflap b is raised from the outer or the inner side, depending on the situation of the loss ofsubstance, and is transplanted and sutured as shown in the I 2 3 Fig. 360.—Richets operation for the restoration of the commissure (Beard).—i. Thedotted lines show the incision for removal of the growth. 2. Shows defect left by dotted lines indicate the outline of the flaps. The lower lid is drawn up over theupper lid, in an over-corrected position. 3- The flaps superimposed and sutured intoposition, cutaneous tissues. The flap was brought into position by passing itthrough a tunnel burrowed beneath the skin between the proximal end SURGERY OF THE EYELIDS 377 of the pedicle and the defect. In finishing, all incisions are closed asfar as possible (Figs. 352 and 353). I would suggest that the under surface of the flap be pregraftedbefore transplanting, to avoid contracture, and that it be freely scarifiedwhen transplanted to reduce early congestion. ^^^^^^^ ^^^%
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