Plastic surgery; its principles and practice . Fig. 366.—Walthers operationfor external tarsorrhaphy (Beard).—The shaded area indicates the de-nuded portion of the lids. 382 PLASTIC SURGERY The method I have used is to implant the edge of a pedunculatedflap of fat and skin from the abdominal wall as thick as is possible toraise, into an incision in the palm of the hand. After the circulation. Pig. 367.—Method of dealing with exenteration of the orbit, including removal of thelids. The defect followed the removal of a melanotic —i. Note the deep cavitycovered with granulations and the
Plastic surgery; its principles and practice . Fig. 366.—Walthers operationfor external tarsorrhaphy (Beard).—The shaded area indicates the de-nuded portion of the lids. 382 PLASTIC SURGERY The method I have used is to implant the edge of a pedunculatedflap of fat and skin from the abdominal wall as thick as is possible toraise, into an incision in the palm of the hand. After the circulation. Pig. 367.—Method of dealing with exenteration of the orbit, including removal of thelids. The defect followed the removal of a melanotic —i. Note the deep cavitycovered with granulations and the surrounding skin being drawn in over the orbital mar-gins. This caused intense discomfort. The problem of checking the pull of the skin intothe orbital cavity and at the same time filling the cavity had to be considered. A flapfrom the neck or forehead could have been used, but this procedure entailed a disfiguringscar which should always be avoided if possible. It was decided to attempt to fill the cavityby means of a pedunculated flap from the abdomen with a double transfer. 2. A flap com-posed of the skin and full thickness of the abdominal fat was implanted into an inci-sion along the ulna side of the hand. After two weeks the pedicle was cut and the resultis shown in the photograph. Two weeks later, during which time all ill-nourished portionswere removed, the eye defect was
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
