Plastic surgery; its principles and practice . Fig. 479.—Operation for the reconstruction of the nose (Helferich).—i and 2. A flapA with its base adjacent to the loss of substance is raised from the cheek and turned over-skin side downward, and is sutured to the freshened edge of the nasal defect on the oppositeside. Care is taken to utilize the stump of the ala. Then the flap B with its pedicle aboveis raised, and shifted to cover the raw surface of flap A. Two weeks later the lower portionof the pedicle of the internal flap is cut, and is sutured to the freshened stump of the alaon that side
Plastic surgery; its principles and practice . Fig. 479.—Operation for the reconstruction of the nose (Helferich).—i and 2. A flapA with its base adjacent to the loss of substance is raised from the cheek and turned over-skin side downward, and is sutured to the freshened edge of the nasal defect on the oppositeside. Care is taken to utilize the stump of the ala. Then the flap B with its pedicle aboveis raised, and shifted to cover the raw surface of flap A. Two weeks later the lower portionof the pedicle of the internal flap is cut, and is sutured to the freshened stump of the alaon that side. The cheek wounds are grafted. The inserts indicate the positions of the flaps In the operations devised by Keegan, Thiersch, Helferich, Klister,and Berger, as shown in the diagrams, we have the best of the methodsfor the formation of double flaps(Fig. 476-481).
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
