War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . When the surface of the auricular region contains no hol-lows or elevations suitable for such connections, a thin asepticplate or band of silver or other material might be inserted underthe skin of the cheek or scalp and allowed to become encystedthere. This might have a screw or socket projecting through acicatrized opening in the integument, to whi
War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . When the surface of the auricular region contains no hol-lows or elevations suitable for such connections, a thin asepticplate or band of silver or other material might be inserted underthe skin of the cheek or scalp and allowed to become encystedthere. This might have a screw or socket projecting through acicatrized opening in the integument, to which the artificial ear 3/2 WAR SURGERY OF THE FACE. may be attached. Prosthetic appliances of this character havebeen greatly improved in recent times because of the need forprosthesis in extensive war wounds. Organs repaired by permanent displacement of human tissuesare very satisfactory. It requires, however, operative skill onthe part of the surgeon and patience and confidence on the partof the subject to insure even a fairly successful construction ofan ear or nose or larger section of the face. The results may,however, be very good, if successive operations, during two orthree years, are performed with reasonable skill after thoughtful. Fig. 209.— Releasing auricle attached to mastoid region by scar of burn, byusing pediculated flap from back of neck. planning. Considerable time must be permitted to elapse be-tween the operative stages, to give time for subsidence of inflam-matory swelling and induration. Several months interval willoften be needed for this purpose. If the auricle has been only partially destroyed by the wound,much may be done by creating new contours and inserting newstructures. The required skin and subcutaneous tissue mayreadily be transferred from the adjacent cheek and neck, whenthese surfaces have not been changed into cicatrix by the originalinjury or prior operations. The newly formed parts may bestiffened with grafts from costal cartilages, chips
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
