Plastic surgery; its principles and practice . troyed by third degree burns and the remaining portion be coveredwith scar tissue, or be adherent to the mastoid region. Sometimes itis a difficult matter to separate the ear from the head and prevent arecurrence of the deformity. SURGERY OF THE EAR 415 J. C. Becks Operation for Adherence (Synechia) of the Auricleto the Mastoid Region.^(This procedure can also be utilized for re-pairing losses of substance.) Separate the adherent ear from the mas-toid surface, and pack the space with gauze until granulations haveformed. At the same time raise a pe
Plastic surgery; its principles and practice . troyed by third degree burns and the remaining portion be coveredwith scar tissue, or be adherent to the mastoid region. Sometimes itis a difficult matter to separate the ear from the head and prevent arecurrence of the deformity. SURGERY OF THE EAR 415 J. C. Becks Operation for Adherence (Synechia) of the Auricleto the Mastoid Region.^(This procedure can also be utilized for re-pairing losses of substance.) Separate the adherent ear from the mas-toid surface, and pack the space with gauze until granulations haveformed. At the same time raise a pedunculated flap, shaped to coverthe posterior surface of the auricle and the mastoid defect, from thefront of the forearm. Either arm may be used for this purpose. Sepa-rate the flap from its base with rubber tissue to prevent adherence andto allow thickening. One week later freshen the raw surfaces, raisethe forearm, and suture the flap from the arm to the posterior surface ofthe auricle and on the mastoid defect. Secure with a plaster
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