Plastic surgery; its principles and practice . 123 4 Fig. 421.—Partial reconstruction of the ear for a defect following trauma.—Durationseveral months, i. The extent of the defect is well shown. Note that the remainingportion of the ear stands well away from the head. 2, 3 and 4. The reconstructed portionthree months later. Several shaping operations will be necessary to complete the flap to reconstruct the ear was obtained from the hairless portion of the skin behindand below the ear. The uninjured ear was also very prominent and the cartilage removedfrom this ear was utilized in pre
Plastic surgery; its principles and practice . 123 4 Fig. 421.—Partial reconstruction of the ear for a defect following trauma.—Durationseveral months, i. The extent of the defect is well shown. Note that the remainingportion of the ear stands well away from the head. 2, 3 and 4. The reconstructed portionthree months later. Several shaping operations will be necessary to complete the flap to reconstruct the ear was obtained from the hairless portion of the skin behindand below the ear. The uninjured ear was also very prominent and the cartilage removedfrom this ear was utilized in preparing the framework, and the skin also was employed forfilling defects. Retro-auricular Fistulae and Depressions Some of these fistulae are the result of radical mastoid operationswith long-continued drainage. They are lined with epithelium and are. 12 34 Fig. 422.—Reconstruction of the anterior portion of the helix.—i. Plaster cast showingthe defect. 2. Six weeks after shifting up a flap from the hairless portion of the scalpimmediately behind the ear, with pedicle above, and turning it on itself to fill out the pedicle has been cut and the wound from which the flap was taken closed. 3. Twomonths later, after shaping operations. 4. Two and a half years after transplantation ofthe flap. The ear would scarcely be noticed as defective from a distance of a few feet. continuous with the skin; they may open into the external auditorycanal, but sometimes there is no such connection, the defect being a SURGERY OF THE EAR 417
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