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 . Fic. 23g.— Dieffenbachs operationfor making lower eyelid. Fig. 240.— Dieffenbachs operationfor making lower eyelid completed. lid, varies with the character of the skin surrounding the surgeon must determine, before he begins his operation, howhe will close the wound left by the transfer of the flap whichhe expects to utilize to distribute th
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 . Fic. 23g.— Dieffenbachs operationfor making lower eyelid. Fig. 240.— Dieffenbachs operationfor making lower eyelid completed. lid, varies with the character of the skin surrounding the surgeon must determine, before he begins his operation, howhe will close the wound left by the transfer of the flap whichhe expects to utilize to distribute the cicatricial tension. He mayfor this purpose make, by a series of cuts, many transfers ofcellulo-cutaneous tissue, or he may use Thiersch skin grafts, orfree flaps of the whole thickness of the skin. The methodsdescribed under blepharoplasty will often be required to com-plete the restoration of the palpebral region in bad cases ofectropion. REPAIR OF TRAUMATIC DEFORMITIES OF EYELIDS AND GLOBE. 405 RESTORATION OF gangrene or injury has destroyed the greater part orthe whole of an eyelid, some form of operation to make a newlid will claim the attention of the surgeon. These more exten-. Fig. 241.— Loss of lower eyelid by shell wound with destruction of righteyebail. (Courtesy of Dr. H. W Scarlett.) sive blepharoplastic operations are valuable and important. Theprotection given the conjunctiva and cornea by the lids is neces-sary to insure freedom from corneal ulceration and probableperforation. Perforation of the cornea leads to destruction ofvision, which may be complete, in the eye so affected. 406 WAR SURGERY OF THE FACE. Many ingenious devices have been employed in illustrations here given will sufficiently explain the generalprinciples on which the upper or lower or both lids may berestored. If after the repair has been made there are some
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
