Plastic surgery; its principles and practice . Fig. 364.—Von Ammon-Agnews operation for canthoplasty (Beard).—The pal-pebral fissure has been lengthened, and the external canthal ligament divided. Note theposition of the sutures so placed that they prevent stretching of the conjunctiva, and oblit-eration of the external cul-de-sac. angle and is carried outward as far as it will go without stretching theconjunctiva, and is passed through the upper lip of the wound (not tothe external angle of the skin incision, if it would cause too much ten-. I 2 Fig. 365.—Abnormal narrowing of the palpebral s
Plastic surgery; its principles and practice . Fig. 364.—Von Ammon-Agnews operation for canthoplasty (Beard).—The pal-pebral fissure has been lengthened, and the external canthal ligament divided. Note theposition of the sutures so placed that they prevent stretching of the conjunctiva, and oblit-eration of the external cul-de-sac. angle and is carried outward as far as it will go without stretching theconjunctiva, and is passed through the upper lip of the wound (not tothe external angle of the skin incision, if it would cause too much ten-. I 2 Fig. 365.—Abnormal narrowing of the palpebral slit.—i. Before operation. Thehistory of the case is that the lids were united at birth, but were opened slightlyduring infancy. 2. After operation. The canthi were lengthened externally and inter-nally, and an elongated ellipse of skin was removed from between the eyes. The lid muscleswere atrophied from lack of use, but later the patient was able to open the lids more taken three months after operation. sion). Another suture above and below join skin and mucous mem-brane, and the operation is finished with a single skin stitch if necessary(Fig. 364). SURGERY OF THE EYELIDS 381 TARSORRHAPHY (SHORTENING THE PALPEBRAL OPENING) Tarsorrhaphy is an operation designed to shorten the palpebralfissure; in plastic surgery this procedure is sometimes necessary indealing with extensive ectropion. Walthers Operation.—Strips of skin are excised from the margins ofboth upper and lower lids, deep enough to include the follicl
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
