Plastic surgery; its principles and practice . Pig. 697.—Brauns operation for fistula of Stensons duct (Binnie).—i. Make theincision AB which divides all the tissues except the masseter, and the buccal mucosa. Dis-sect the fistulous opening free from the skin. 2. Retract the tissues and form a flap ofmucosa of the desired length and width, with its pedicle at the anterior border of themasseter. 3. Turn the flap back and suture its free end to the fistula, and its edges to-gether to form a tube. Close the skin wound. The ends of this suture are left long, and to it is tied a loop of Xo. 5,lo-da
Plastic surgery; its principles and practice . Pig. 697.—Brauns operation for fistula of Stensons duct (Binnie).—i. Make theincision AB which divides all the tissues except the masseter, and the buccal mucosa. Dis-sect the fistulous opening free from the skin. 2. Retract the tissues and form a flap ofmucosa of the desired length and width, with its pedicle at the anterior border of themasseter. 3. Turn the flap back and suture its free end to the fistula, and its edges to-gether to form a tube. Close the skin wound. The ends of this suture are left long, and to it is tied a loop of Xo. 5,lo-day chromic catgut which is passed in from the mouth along theflap (the ends being left in the mouth). The mucous flap assumes achannel-like form, and it may be wise to draw the edges together witha stitch or two, in order to form a sort of tube over the catgut strands. 596 PLASTIC SURGERY This is an excellent operation and with modifications is well worthtrying (Figs. 698-699).
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