Plastic surgery; its principles and practice . Pig. 509.—Operation for the reconstruction of the lower part of the nose, continued(modified from Nelaton and Ombredanne).—i. The pedicle has been cut after the flap shownin Pigs. 507, 508, 2 has been transplanted. The free end of the flap is trimmed in some suchmanner as is shown by the dotted lines in Pig. 508, i. The columna may be formed by in-folding the pedicle end of the flap, or by cheek flaps as indicated by the dark lines, whichmay be turned up before the arm flap is transplanted. 2. The columna and alee have beenformed from cheek flaps
Plastic surgery; its principles and practice . Pig. 509.—Operation for the reconstruction of the lower part of the nose, continued(modified from Nelaton and Ombredanne).—i. The pedicle has been cut after the flap shownin Pigs. 507, 508, 2 has been transplanted. The free end of the flap is trimmed in some suchmanner as is shown by the dotted lines in Pig. 508, i. The columna may be formed by in-folding the pedicle end of the flap, or by cheek flaps as indicated by the dark lines, whichmay be turned up before the arm flap is transplanted. 2. The columna and alee have beenformed from cheek flaps by the Bayer-Payr method, and then the raw surface covered by aflap from a distant part. the defect. Ten to fourteen days later the pedicle is cut. Severalweeks later the columna is formed and inserted into the upper lip, andthe edges are trimmed and shaped (Fig. 507-509). Where the nostrils are completely destroyed two methods may beemployed, both of which depend on the formation of an internal andan external skin surface in the construc
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
