. Manual of operative surgery. Figs. 117 and 118.—Repair of buccal i[,>rjlcy. J,,: and instead of being provided with the usual pedicle, transplantation of theanterior temporal artery is practised according to the method published byMonks (Boston Med. and Surg. Journ., 1898) but of which Horsley was ignorantat the time. PLASTIC REPAIR III The Operation. Anesthetize preferably by the rectal method. 1. Prepare the cheek by trimming away the scar tissue around the defect andby undermining the skin slightly. If it is necessary to replace the mucosa do soby implanting the flap A, B, C,


. Manual of operative surgery. Figs. 117 and 118.—Repair of buccal i[,>rjlcy. J,,: and instead of being provided with the usual pedicle, transplantation of theanterior temporal artery is practised according to the method published byMonks (Boston Med. and Surg. Journ., 1898) but of which Horsley was ignorantat the time. PLASTIC REPAIR III The Operation. Anesthetize preferably by the rectal method. 1. Prepare the cheek by trimming away the scar tissue around the defect andby undermining the skin slightly. If it is necessary to replace the mucosa do soby implanting the flap A, B, C, D (Fig. ii8). 2. Outline the flap E, F, G. Make the straight incision G, H along theline of the anterior temporal artery. Expose the artery, but do not injure it orgrasp it with forceps. Dissect the artery free along with a considerable amountof surrounding tissue so as to preserve the nerve supply of the vessel. Make theincision H, I through the skin alone and prepare a bed for the artery. Completethe mobilization of flap E, F, G and place it in the defect in the cheek.


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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921