. Diseases of the ear; a text-book for practitioners and students of medicine. vidual case. I might say, in re-gard to the Pause method, that for some time I have adopteda modification which has been very valuable to me. Insteadof bending the upper and lower flaps backward upon them-selves and suturing them to the anterior flap, to which they arealready attached, I have passed deep sutures of heavy catgutthrough the entire depth of these flaps and sutured them tothe periosteal margin behind the mastoid wound. The uppersuture passes through the outer extremity of the upper quadri-lateral flap a
. Diseases of the ear; a text-book for practitioners and students of medicine. vidual case. I might say, in re-gard to the Pause method, that for some time I have adopteda modification which has been very valuable to me. Insteadof bending the upper and lower flaps backward upon them-selves and suturing them to the anterior flap, to which they arealready attached, I have passed deep sutures of heavy catgutthrough the entire depth of these flaps and sutured them tothe periosteal margin behind the mastoid wound. The uppersuture passes through the outer extremity of the upper quadri-lateral flap and through the periosteal margin of the posteriorwound adjacent. When traction is made upon this suture thequadrilateral flap is pulled upward, outward, and backward, sothat its cutaneous surface forms a lining for the upper part ofthe bony cavity by its raw surface being forced against thewalls of this cavity. The lower quadrilateral flap is attached tothe periosteal margin of the wound behind and below in ex-actly a similar manner. It will be seen that the effect of these.
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Keywords: ., bookcentury1900, bookdecade1900, bookpublishernew, booksubjectear