. Operative surgery. d line, the flap having either curved orangular borders, is recommended. Figs. 732 and 723 repre-sent the restoration of the alse by a flaptaken from the cheek and upper lip. Theflap must be of sufficient size to allow atleast one fourth for its contraction, other-wise when united in position it will dis-place the axis of the nose, thereby substi-tuting one deformity for another. Langen-hech repaired a similar deformity by takinga flap from the opposite side of the nose(Fig. 724). As in the preceding method,the dissection must be carefully made downto the cartilaginous fra
. Operative surgery. d line, the flap having either curved orangular borders, is recommended. Figs. 732 and 723 repre-sent the restoration of the alse by a flaptaken from the cheek and upper lip. Theflap must be of sufficient size to allow atleast one fourth for its contraction, other-wise when united in position it will dis-place the axis of the nose, thereby substi-tuting one deformity for another. Langen-hech repaired a similar deformity by takinga flap from the opposite side of the nose(Fig. 724). As in the preceding method,the dissection must be carefully made downto the cartilaginous framework. The borderof the new ala, although freshly cut, healsin a satisfactory manner. Fig. 725 showsthe line of incision employed to repair thedeformity with a flap possessing an alreadycicatrized border. The vascular supply ofthis flap is not active, and every precau-tion should, therefore, be taken to provide against the danger of incision is begun at the sound side, near the tip of the nose, and ex-. FiG. 733.—Elliss method, from lipand cheek.
Size: 1393px × 1794px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
