Plastic surgery; its principles and practice . 1.—Deformity following luetic ulceration of the mouth.—i. The ulcer in itsactive state. 2 and 3. Taken eighteen months later, after salvarsan and local the enormous size of the mouth and the extensive infiltration with scar tissue. then shifted toward the median line, and the wound is sutured in theshape of a Y. In marked cases, whether congenital or acquired, it isnecessary to separate the tissues and suture them in layers—mucousmembrane to mucous membrane, etc. Great care should be taken toline the newly constructed commissures wi
Plastic surgery; its principles and practice . 1.—Deformity following luetic ulceration of the mouth.—i. The ulcer in itsactive state. 2 and 3. Taken eighteen months later, after salvarsan and local the enormous size of the mouth and the extensive infiltration with scar tissue. then shifted toward the median line, and the wound is sutured in theshape of a Y. In marked cases, whether congenital or acquired, it isnecessary to separate the tissues and suture them in layers—mucousmembrane to mucous membrane, etc. Great care should be taken toline the newly constructed commissures with mucous membrane orskin. ECTROPION OF THE LIPS By ectropion is meant the eversion of the free border of the lip sothat the mucosa is permanently exposed to the air^. The deformity is 552 PLASTIC SURGERY usually caused by contracted scar on the skin surface of the lip. Everygradation is encountered, from partial eversion of a portion of the lipto complete eversion of the whole lip, so that the entire mucous liningis exposed to the i Fig. 642.—Deformity following luetic ulceration, continued.—i and 2. No attempt wasmade to remove the scar tissue at this time, this being reserved for a subsequent mucous membrane was loosened above and below. The commissure was lined with aflap of mucosa which was especially broad at the point selected for the angle of the scar tissue with some normal tissue was freed, and shifted into position, an effortbeing made to reconstruct the cheek on that side. The result is shown in the photograph. In old cases the alveolar margin may also be everted and the teethproject forward. The bone is atrophied, and the teeth are usually k^J^\
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
