Plastic surgery; its principles and practice . Fig. 672.—Operation for the repair of a cheek defect {Kraske).—i. The growth isexcised. The flap A of sufficient size to fill the defect is raised from below, with its pedicleon, or close to the margin of the defect. 2. The fiap sutured into the defect. The rawsurfaces are grafted or covered with a flap from the neck. overlying soft parts for sarcoma of the antrum. The condition iswell shown in the accompanying figures. There was paralysis of theright corner of the mouth. The defect extended from the outer angleof the right eve to the nose, and we
Plastic surgery; its principles and practice . Fig. 672.—Operation for the repair of a cheek defect {Kraske).—i. The growth isexcised. The flap A of sufficient size to fill the defect is raised from below, with its pedicleon, or close to the margin of the defect. 2. The fiap sutured into the defect. The rawsurfaces are grafted or covered with a flap from the neck. overlying soft parts for sarcoma of the antrum. The condition iswell shown in the accompanying figures. There was paralysis of theright corner of the mouth. The defect extended from the outer angleof the right eve to the nose, and well down on to the cheek. The eve. Fig. 673.—Cheek defect following of a sarcoma of the antrum three yearspreviously,—i and 2. Lateral and front views of the defect. 3. The defect was closed bymeans of a flap of tissue from the cheek below, the pedicle being at the lower rim of theopening. This flap was turned upward, skin side inward, and its edges were sutured underthe loosened edges from around the margin of the opening. The raw surface was thengrafted with Ollier-Thiersch grafts. The photograph was taken two weeks after operation, was sagging, and was held by the soft parts only, the floor of the orbithaving been removed. The lower lid was intact, the lachrymal sacwas destroyed, the septum was missing; through the opening could beseen the nasal surface of the hard nalate. and the action of the soft 574 PLASTIC SURGERY palate in swallowing and speaking. In other words, this defectopened into the nasal and pharyngeal cavities and not into the cheek just below the defect was quite thick, and co
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
