A manual of operative surgery . FIG, 254 —LANGENBECKSPARTIAL i32 OPERATIONS ON HEAD AND NECK [part hi (c) From the Upper Lip (Webers Operation).—The margins of thedefective ala having been freshened, an oval flap is cut from the centreof the lip. The pedicle of this flap is attached alone to the columna,while its free margin reaches to the prolabium. Only a part of the thickness of the lip is concerned in theflap. It is turned upwards, and fixed intoposition by sutures. At the end of threeor four weeks the pedicle is divided, andis applied to the inner surface of the flap,so as t
A manual of operative surgery . FIG, 254 —LANGENBECKSPARTIAL i32 OPERATIONS ON HEAD AND NECK [part hi (c) From the Upper Lip (Webers Operation).—The margins of thedefective ala having been freshened, an oval flap is cut from the centreof the lip. The pedicle of this flap is attached alone to the columna,while its free margin reaches to the prolabium. Only a part of the thickness of the lip is concerned in theflap. It is turned upwards, and fixed intoposition by sutures. At the end of threeor four weeks the pedicle is divided, andis applied to the inner surface of the flap,so as to give a thicker and rounder marginto the new ala. 4. The formation of a new columna is frequently called for. .s=fe^- ?&Kk**3j5fe^. (a) The columna may be formed from the tissue of the upper lip. in the manner FIG- 25n5ewF2Sumn°a: °F A already described (page 123). b, c, From the lip; a, From (b) It may be derived from the dor- the nose Hueters opera- sum of the nose—Hueters operation. A tion. {Looker.) r quadrilateral flap (a, Fig. 255) is taken fromthe do
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Keywords: ., bookcentury1900, booksub, booksubjectsurgicalproceduresoperative
