Plastic surgery; its principles and practice . Fig. 648.—Contracture of the chin, continued.— i. Profile view of the flap with pediclebelow. 2. Seven months later the pedicle was cut and the flap was shifted upward. Thedefect below was closed by undercutting and sliding. 3 and 4. Three years later the anglesof the mouth were raised and the scar on the neck was excised. The use of a flap fromthe neck of this type is, as a rule, not to be advised. However, by waiting until it isthoroughly contracted and then dividing it transversely and shifting it upward as far asdesired, it can be utilized wit
Plastic surgery; its principles and practice . Fig. 648.—Contracture of the chin, continued.— i. Profile view of the flap with pediclebelow. 2. Seven months later the pedicle was cut and the flap was shifted upward. Thedefect below was closed by undercutting and sliding. 3 and 4. Three years later the anglesof the mouth were raised and the scar on the neck was excised. The use of a flap fromthe neck of this type is, as a rule, not to be advised. However, by waiting until it isthoroughly contracted and then dividing it transversely and shifting it upward as far asdesired, it can be utilized with Fig. 649.—Ectropion of the lower lip with involvement of the neck and cheek follow-ing a burn. Duration eight months.— i and 2. Note the greater involvement of the rightside. 3. A close view of the pedunculated flap from the arm sutured to the left cheek,with horsehair stitches still in place.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
