Plastic surgery; its principles and practice . befatal. Marked symptomsoccurred. The situation anddepth of the burn contraindicatedcomplete excision, which couldhave been done on almost anyother part of the body. 566 PLASTIC SURGERY tive operation or injury. (2) Those due to ulceration of some soft part,or extensive destruction, in which the restoration must necessarily bedelayed until healing is complete. With this group there is nearlyalways associated contracture of the jaws due to dense scar which mayinvolve the surrounding skin, muscle and mucous membrane—a con-tracture which is ve
Plastic surgery; its principles and practice . befatal. Marked symptomsoccurred. The situation anddepth of the burn contraindicatedcomplete excision, which couldhave been done on almost anyother part of the body. 566 PLASTIC SURGERY tive operation or injury. (2) Those due to ulceration of some soft part,or extensive destruction, in which the restoration must necessarily bedelayed until healing is complete. With this group there is nearlyalways associated contracture of the jaws due to dense scar which mayinvolve the surrounding skin, muscle and mucous membrane—a con-tracture which is very difhcult to overcome. In long-standing casesatrophy of the mandible is also usually found. If the gap is small, and there is plenty of normal skin, but the jawsare locked, the cheek must be lined according to the method the gap is large, the surrounding skin scant, and the jaws are locked,in addition to the problem of unlocking the jaws we are compelled tosecure the skin from a distance for filling the gap in the mucous mem-.
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