Plastic surgery; its principles and practice . I 2 3 Fig. 572.—Restoration of the upper lip and lining the cheek, for a defect following•noma. Duration twelve years.—i. Xote the absence of the right side of the upper lipand ala. The upper teeth have been turned outward by scar contracture. The jaws arelocked. 2 and 3. The result of turning up a pedunculated flap from the neck to line the•cheek. Note the neck scar and the position of the pedicle. was lined by using a pedunculated flap turned up from the neck. Afterthe lining had become assured the vermilion border was detached from. Fig. 573.—R
Plastic surgery; its principles and practice . I 2 3 Fig. 572.—Restoration of the upper lip and lining the cheek, for a defect following•noma. Duration twelve years.—i. Xote the absence of the right side of the upper lipand ala. The upper teeth have been turned outward by scar contracture. The jaws arelocked. 2 and 3. The result of turning up a pedunculated flap from the neck to line the•cheek. Note the neck scar and the position of the pedicle. was lined by using a pedunculated flap turned up from the neck. Afterthe lining had become assured the vermilion border was detached from. Fig. 573.—Restoration of the upper lip, continued.— i. After the lining of the cheek wasassured the pedicle was cut and fitted into position. The upper lip was loosened on theleft side and shifted toward the right. The lined cheek was shifted inward and the flapswere sutured, thus filling the defect. The vermilion border was formed with flaps from theupper and lower lips. Photograph taken ten days after the operation. 2. Shows theresult of the repair of the ala by means of a flap from the cheek covering a flap turned downfrom the nose. 3. Five months after discharge from the hospital. Compare with theoriginal condition. The jaws can be partially opened as the result of removal of the condyleon the right side. Secondary shaping operations will be necessary to complete this case. the remaining portion of the lip on the other side, and then by means ofa horizontal incision close to the nose the lip was loosened and shiftedtoward the defect. The lined portion of the cheek was then shi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
