Plastic surgery; its principles and practice . Fig. 408.—Operation for macrotia to avoid a disfiguring notch (Kolle).—i. A sickle-shaped area of tissue AEA through the thickness of the ear is removed. Its handleACAC is on the level with the upper border of the zygomatic process. The upper cur-vature of the incision follows the inferior border of the helix and extends well into the fossaof the helix. If the antihelix is large a triangular area DFD is excised. The dotted lineB indicates the area of helix which may be removed if shortening is necessary. 2. Theedges are closed and the ear reduced
Plastic surgery; its principles and practice . Fig. 408.—Operation for macrotia to avoid a disfiguring notch (Kolle).—i. A sickle-shaped area of tissue AEA through the thickness of the ear is removed. Its handleACAC is on the level with the upper border of the zygomatic process. The upper cur-vature of the incision follows the inferior border of the helix and extends well into the fossaof the helix. If the antihelix is large a triangular area DFD is excised. The dotted lineB indicates the area of helix which may be removed if shortening is necessary. 2. Theedges are closed and the ear reduced in size. 4o8 PLASTIC SURGERY trauma. It is of great importance to the patient as far as personalappearance is Fig. 409.—Operation for macrotia (Kolle).—i. An area of tissue ACDDCA, includ-ing the entire thickness of the ear is excised from the upper outer portion of the helix,and fossa of the helix. This gives the outline of a short wide two-pronged fork. Theincisions making the prongs are slightly curved, so that when the edges are sutured therewill be a slight convexity. 2. Shows the edges approximated. Several excellent operations have been devised by Gavello, Nelaton,Ombredanne, and others, for the reconstruction of the lobule. I have
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