. Manual of operative surgery. se the wounds aa, bb, cc with sutures (Figs. 74 and 77). Unite the edges of the denuded area I tothe edges of the denuded area II ( and 77). This operation corrects boththe inacrotia and the malposition. Ifthe ear is not much enlarged and thereis marked malposition the anchoring flapof cartilage may be made narrow andthe sickle-shaped resection of cartilagemay be omitted. Method Z>.—Luckett CSurg., Gyn.,Obst., June, 1910) considers that inprominent ears the deformity is due toabsence or insufiicient development ofthe antihelix (Fig. 78), the cavity of t
. Manual of operative surgery. se the wounds aa, bb, cc with sutures (Figs. 74 and 77). Unite the edges of the denuded area I tothe edges of the denuded area II ( and 77). This operation corrects boththe inacrotia and the malposition. Ifthe ear is not much enlarged and thereis marked malposition the anchoring flapof cartilage may be made narrow andthe sickle-shaped resection of cartilagemay be omitted. Method Z>.—Luckett CSurg., Gyn.,Obst., June, 1910) considers that inprominent ears the deformity is due toabsence or insufiicient development ofthe antihelix (Fig. 78), the cavity of theconcha being continuous with that of thehelix. To form an antihelix Luckettoperates as follows: Step I.—On the inner or posteriorsurface of the auricle make a crescenticincision through the integument opposite the line of the intended new antihelix. Remove the inscribed integument. Dissect the edges of the skin free from the cartilage and retract them. Remove a similar crescentic segment from the cartilage. The amount of. ^??^t*!crr. j Fig. 79.—{Luckett, Surg., Gyn., Obslet.) 82 EMPYEMA OF THE ANTRUM OF HIGHMORE cartilage removed depends on the extent of the deformity. Do not buttonholethe skin on the anterior or external side of the ear when removing the cartilage. Step 2.—Close the wound in the cartilage by Lembert sutures so as toinvert the edges (Fig. 79) and form an antihelix. Step 3.—Close the skin wound with horse-hair sutures. Hematoma Auris. Othematoma. Cauliflower Ear.—Don H. Palmer(Northwest IMed., Dec, 1913) operates with good results in this deformityas follows: Sterilize the external ear and surroundings by any good methodwithout iodin. Plug the external auditory meatus with cotton. Make anincision over the most prominent part of the swelling into the hemorrhagiccavity. With curette or fine gouge remove all clots, new-formed cartilageor bone. Gently scrape the anterior surface of the old cartilage until it issmooth. Close the incision except for a sm
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