Plastic surgery; its principles and practice . Fig. 160.—Contracture following a burn of the face, neck and chest.—Xote the eversionof the lower lip. the tilting outward of the alveolar process and the obliteration of the ear on the left side is pulled down by scar which involves the cheek and chest. Notethe distortion of the areolae around the nipples by the pull of the scar. The majority of contractures on the limbs are on the flexor side andevery precaution should be taken during the treatment of injuries 214 PLASTIC SURGERY. Fig. i6i.—Bilateral ectropion of both lids due to contra


Plastic surgery; its principles and practice . Fig. 160.—Contracture following a burn of the face, neck and chest.—Xote the eversionof the lower lip. the tilting outward of the alveolar process and the obliteration of the ear on the left side is pulled down by scar which involves the cheek and chest. Notethe distortion of the areolae around the nipples by the pull of the scar. The majority of contractures on the limbs are on the flexor side andevery precaution should be taken during the treatment of injuries 214 PLASTIC SURGERY. Fig. i6i.—Bilateral ectropion of both lids due to contracture following a burn.—Note the thickened mucosa. The skin of the entire face is involved and there is alsodestruction of the alae. On account of the scar tissue involvement of the surroundingtissues whole-thickness grafts should be tried first to relieve the ectropion, and if not suc-cessful then split pedunculated flaps from a distant part.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky