War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . Fig. 234.— Epithelioma near eye excised and flap from temple used to fillspace, so as to prevent eversion of eyelid. Temporal wound covered withskin shavings. (Authors patient.) upward, to a higher point on the side of the head than normal. Araw surface is made there by excising a rectangle of skin. When the ectropion is due to contraction of scar ti


War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . Fig. 234.— Epithelioma near eye excised and flap from temple used to fillspace, so as to prevent eversion of eyelid. Temporal wound covered withskin shavings. (Authors patient.) upward, to a higher point on the side of the head than normal. Araw surface is made there by excising a rectangle of skin. When the ectropion is due to contraction of scar tissue pullingthe lid away from the eyeball, the lid must be freed from thedisplacing cicatrix and restored to its normal relation. To pre-vent recurrence of the cicatricial dragging, transfer of the tensionto the less mobile skin of the cheek, or the interpolation of apedunculated flap or of a graft of skin is requisite. An operation often efficacious is the sliding toward the eye ofa V-shape flap of skin, cut with its apex sufficiently distant from 402 WAR SURGERY OF THE Fig. 235.— Restoration of lid by the Fricke flap. (Harlan.) Everted up-per lid and outline of flap. II


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky