. Diseases of the ear; a text-book for practitioners and students of medicine. Fig. 141.—Plastic operation for closureof opening behind the ear, as advisedby Trautmann. Fig. 142.—The same operation, showingmanner of passing sutures. six times in over four hundred operations. Various methodshave been devised for closing these openings, among whichis one advocated by Trautmann.* This consists in circum-scribing the entire opening by means of an incision extend-ing simply through the skin. Two semilunar flaps will thusbe formed, one before and one behind. These two flaps aredissected up from over


. Diseases of the ear; a text-book for practitioners and students of medicine. Fig. 141.—Plastic operation for closureof opening behind the ear, as advisedby Trautmann. Fig. 142.—The same operation, showingmanner of passing sutures. six times in over four hundred operations. Various methodshave been devised for closing these openings, among whichis one advocated by Trautmann.* This consists in circum-scribing the entire opening by means of an incision extend-ing simply through the skin. Two semilunar flaps will thusbe formed, one before and one behind. These two flaps aredissected up from over the underlying tissues and turnedinto the opening. Their raw edges are united in the me-dian line by means of sutures either of catgut, which willeasilv be absorbed, or bv means of silk sutures, the sutures Operationen am Gehororgan, Berlin, 1901, p. So. 542 THE MASTOID OPERATION. ^a&


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