Transactions of the Southern Surgical and Gynecological Association . (B rD ^ ? § ^ 53 .2 . 1-° 111§111o § | „ .s rs o > 5 ^3 d ? u <g <u 1/2 ^ d jS . XI o3 Q g « £^ x g .a £J • ~ -a cf ° .2 d ^ o S 3b §5S a 73 o? ^ G o3 CO ~ - -2 g? § S5 «2 o « - § g _ S a a-g 8 3 § 73 O -G co £ o s-. of QJ — S-i d a; o a a & O H. 53 60 G CO <U ^ o3 ^ *£03^ ft rd £ « .a g © _C _^ 2 CO -G. DISCUSSION 205 must remember, as Dr. Blair pointed out, that certain patientsstand the transplantation of a flap which would be a completefailure in others. While the immediate blood supply in youngchildren
Transactions of the Southern Surgical and Gynecological Association . (B rD ^ ? § ^ 53 .2 . 1-° 111§111o § | „ .s rs o > 5 ^3 d ? u <g <u 1/2 ^ d jS . XI o3 Q g « £^ x g .a £J • ~ -a cf ° .2 d ^ o S 3b §5S a 73 o? ^ G o3 CO ~ - -2 g? § S5 «2 o « - § g _ S a a-g 8 3 § 73 O -G co £ o s-. of QJ — S-i d a; o a a & O H. 53 60 G CO <U ^ o3 ^ *£03^ ft rd £ « .a g © _C _^ 2 CO -G. DISCUSSION 205 must remember, as Dr. Blair pointed out, that certain patientsstand the transplantation of a flap which would be a completefailure in others. While the immediate blood supply in youngchildren may not be satisfactory the recuperative power isgreater and collateral circulation is established quickly. The wonderful plastic surgery done on young men duringthe war, who were ideal subjects for this work, cannot be donein people on whom we operate for cancer. Cancer occurs at theage of forty and over and vascularization of the flap is inter-fered with by age. A soldier of twenty years may be successfullyrepaired, whereas the same thing attempted in a man of sixtywould be a complete failure. I should like to mention the case of a patient who had a basal-cell carcinoma for twelve years which had eaten away the upperlip and alveolar process. We did a tracheotomy and gave etherthrough the tracheotomy wound; packed off the pharynx withwet gauze and with a Percy cautery burnt away t
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