Plastic surgery; its principles and practice . 6, xiv, 350. SURGERY OF THE EYELIDS 393 Valois, G. & Roiat:ix, J. Presse med. Paris, Aug. 24, 1916, , H. Chinique. Brux, 1891, v, 769. Walther, Ph. Jour. Chirurgie u. Augen-Heilkunde. Berlin, 1826, 86. Warrex, J. Boston Med. & Surg. Jour., April 14, 1841, 149. Weidler, W. B. Xew York ^led. Jour., Xov. 2, 1912, 899. See Jones, Wharton. Wheeler, J. M. Amer. Jour. Surg., June, 1917, 167. Wilder, Wii. H. Wood: System of Ophthalmic Operations, 1911, ii, 1464. Wolfe. London Med. Times & Gaz., June 3, 1878. CHAPTER XVI


Plastic surgery; its principles and practice . 6, xiv, 350. SURGERY OF THE EYELIDS 393 Valois, G. & Roiat:ix, J. Presse med. Paris, Aug. 24, 1916, , H. Chinique. Brux, 1891, v, 769. Walther, Ph. Jour. Chirurgie u. Augen-Heilkunde. Berlin, 1826, 86. Warrex, J. Boston Med. & Surg. Jour., April 14, 1841, 149. Weidler, W. B. Xew York ^led. Jour., Xov. 2, 1912, 899. See Jones, Wharton. Wheeler, J. M. Amer. Jour. Surg., June, 1917, 167. Wilder, Wii. H. Wood: System of Ophthalmic Operations, 1911, ii, 1464. Wolfe. London Med. Times & Gaz., June 3, 1878. CHAPTER XVIIISURGERY OF THE EAR (OTOPLASTY) Plastic surgery of the ear (pinna, auricle) deals with the correctionand reconstruction of congenital or acquired malformations. CONGENITAL MALFORMATIONS In very rare cases the ear may be entirely lacking; more often it isonly partially defective. The auricle may be too large_ (macrotia), Cnira of anthelix Crus of tiie helir-Anterior incisure Supratragic tubercle-Tragus-Intertragic incisure^ Lobule. Helix Auricular tubercleFossa of antihelixFossa of helix Cymba ;Concha Cavum jAnthelixPosterior auricular sulcus -Helix Antitragus Pig. 382.—Lateral surface of a normal left auricle (Morris). or too small (microtia); the contour may be abnormal; the ear may besmooth, the angle of the antihelix and the curl of the helix being of these conditions may be either unilateral or bilateral. Abnormally small ears are usually accompanied by other malforma-tions of the organ. Extensive defects of the auricle with normal form-ation of the other portions are rare. It is much more common to findthe lobule absent, or poorly developed. 394 SURGERY OF THE EAR 395 Auditory Meatus.—In extensive arrest of development of the earthere is usually atresia of the auditory meatus, and the skin over it maybe dimpled or be perfectly smooth. The atresia may involve only,the cartilaginous canal, or the canal through the bone may also beobliterated. I have seen sev


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