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 . ment delayed for a time until infection had beencontrolled and cicatricial contraction had occurred, leaving defect in upperlip. Photograph shows incisions made across cheeks to permit approxima-tion of remains of upper lip by sliding tissues toward median line. Severaloperations were done on this patient. It represents intermediate plastic opera-tio
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 . ment delayed for a time until infection had beencontrolled and cicatricial contraction had occurred, leaving defect in upperlip. Photograph shows incisions made across cheeks to permit approxima-tion of remains of upper lip by sliding tissues toward median line. Severaloperations were done on this patient. It represents intermediate plastic opera-tion before too much delay had permitted greater deformity. (Courtesy of Dr. Tlws. G. Allcr, Jr.) nasal, oral and conjunctival fluids occurs. The moisture of thesesecretions makes infection more likely in the presence of foreignmaterial carried into such wounds than would be the case inregions readily kept dry. 194 WAR SURGERY OF THE FACE. In civil life, the alveolar, nasal and other processes of themaxilla are the portions most frequently the seat of injuries occur especially in connection with coincidentbreaks of the adjacent bones. There may be rigid impaction ofthe fragments with consequent distortion of the orbital, nasal,. Fig. 79,— Later appearance of same patient after swelling had disap-peared and scars had become less marked. Upper lip is much improved inshape and its tightness when compared with lower lip much nearer lip was furnished with a mucous border made from a bridge stripof mucosa J4 inch wide dissected from lower lip with its ends left attachedto the inside of cheeks. The middle of this flap was turned up and stitchedto the denuded under surface of the new upper lip. Later the ends of themucous membrane flap were cut from their attachments to the cheek, andthe mouth split at the corners so as to make the new upper lip with itsnewly obtained mucous lining match in length and width the lower lip. (Courtesy of Dr. Thos. G. Aller, Jr.)
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
