Plastic surgery; its principles and practice . Fig. 558.—Contracture of the face following a burn. Duration eight years.—i, 2 and3. Profile view and front views of the patient. Note the ectropion of the lids, the inabilityto close the mouth and the general involvement of the entire face with scar Fig. 559.—Contracture of the face following a burn, continued.—i, 2 and 3. Profileand front viev.^s of the same patient after numerous operations in which one or two whole-thickness grafts were used around the eyes, but elsewhere the improvement was made en-tirely by shifting flaps of scar ti
Plastic surgery; its principles and practice . Fig. 558.—Contracture of the face following a burn. Duration eight years.—i, 2 and3. Profile view and front views of the patient. Note the ectropion of the lids, the inabilityto close the mouth and the general involvement of the entire face with scar Fig. 559.—Contracture of the face following a burn, continued.—i, 2 and 3. Profileand front viev.^s of the same patient after numerous operations in which one or two whole-thickness grafts were used around the eyes, but elsewhere the improvement was made en-tirely by shifting flaps of scar tissue, sometimes only a fraction of an inch at a time. Notethat the eyes can be closed. The lips can be brought together normally, and the principallines of tension have been relieved. I shall discuss the operation for malignant growths of the lip onlyfrom the standpoint of repair. I might say, however, that in every SURGERY OF THE LIPS 513 case of this type a wide margin should be allowed, and the shape of theexcised area should be as uncomplicated as possible. Ordinarily the glands in the neck are removed through incisionswhich are independent of those used for closure of the lip, but opera-tions have been devised in which the glands may be removed <^hroughthe same incisions. The advantage
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
