Annals of surgery . ittle swollenand dusky, and the pedicle was a little tender. These symptomsgradually subsided. Seven days after operation union was completeand the stitches were removed. The second photograph was taken three weeks after will be seen that the flap was cut of such size and shape as to allowthe ala of the nose and the corner of the mouth to drop back intotheir normal positions. (Fig. 2.) At this time the dependence of the flap upon its vascular supplythrough the pedicle was tested in the following manner: A clampwas applied to the pedicle so as completely to chec
Annals of surgery . ittle swollenand dusky, and the pedicle was a little tender. These symptomsgradually subsided. Seven days after operation union was completeand the stitches were removed. The second photograph was taken three weeks after will be seen that the flap was cut of such size and shape as to allowthe ala of the nose and the corner of the mouth to drop back intotheir normal positions. (Fig. 2.) At this time the dependence of the flap upon its vascular supplythrough the pedicle was tested in the following manner: A clampwas applied to the pedicle so as completely to check circulationthrough it. The effect of this was that the Hap very rapidly becameblan< hed in the upper portion and purplish below. The clamp wasleft on for seventeen minutes. When it \\as removed, the flapquickly flushed to a brilliant red, and this hyperemia lasted severalminutes. September 16, twenty-three days after the first operation, I per-formed a se< ond. The granulations were scraped from the wound in. 9Rf p HL ^, 1 iSfess * t ^ Jl
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
