Plastic surgery; its principles and practice . he orbicularis palpebrarum. ?^ C, the masseter muscle. C, a flap of PrOVea. the masseter split and attached above and below the angles of the mouth. ELEVATION OF LOWER EYELID The eyelid may be raised by one of the plastic operations alreadydescribed for the relief of ectropion, or by means of a pedunculatedflap from the temporal muscle. Operation for Raising the Lower Eyelid by the Attachment of aPedunculated Flap of the Temporal Muscle to the Orbicularis Palpe-brarum (Modified after Lexer and Morestin).—A curved incisionabout 7. cm. {2
Plastic surgery; its principles and practice . he orbicularis palpebrarum. ?^ C, the masseter muscle. C, a flap of PrOVea. the masseter split and attached above and below the angles of the mouth. ELEVATION OF LOWER EYELID The eyelid may be raised by one of the plastic operations alreadydescribed for the relief of ectropion, or by means of a pedunculatedflap from the temporal muscle. Operation for Raising the Lower Eyelid by the Attachment of aPedunculated Flap of the Temporal Muscle to the Orbicularis Palpe-brarum (Modified after Lexer and Morestin).—A curved incisionabout 7. cm. {2% inches) long is made along the anterior border of thetemporal fossa; a bundle of fibers is separated from the temporal Frazier & Spiller. Univ. of Penn. Med. Bull., 1903. Grant, W. W. Jour. Amer. Med. Assn., Oct. 22, 1910, 1438. Rothschild, O. Centralbl. f. d. Grenzgebiete d. Med. u. Chir., Dec. 21, 1911, 823. Sharpe. W. Jour. Amer. Med. Assn., May 11, 1918, 1354. Watts, S. H. Old Dominion Jour, of Med. & Surg., June, 1913, SURGERY OF THE CHEEK 599 muscle with its pedicle above. The orbicularis palpebrarum is foundand the muscle flap is sutured to it at the angle, or along the lower lid,in such a manner as to raise the lower lid. The wound is then closed(Fig. 700). ELEVATION OF ANGLE OF MOUTH A number of ingenious operations have been devised for raisingthe angle of the mouth, some of which are quite satisfactory. The angle may be raised to the desired position with a strip of freefascia lata (Stein, and others); with thin wire (Busch, Momburg,and others); or silk looped over the zygomatic arch. This may alsobe accomplished by implanting the end of a living muscle (the sterno-cleidomastoid, J. Jianu, Gomoiu, Hildebrand, and others; the masseter,A. Jianu, Jonnescu, Lexer, and others; or the digastric, J. Jianu),into the orbicularis oris at the angle of the mouth. Morestin suturesthe buccinator muscle to the anterior border and aponeurosis of themasseter muscle. RAISING
Size: 1475px × 1694px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
