Plastic surgery; its principles and practice . ct. Mauclaire constructed a lowerlip and also replaced the skin below(which had been removed at opera-tion), by using a tlap whose pediclewas below on the neck at the side ofthe defect. The body of the flap ex-tended up over the sterno-mastoidmuscle, and its free end was on themastoid process, so that the portionwhich was to form the lower lip wascovered with hair. This operationis defective, inasmuch as there is nolining provided for the lip, and whenit is used the under surface of the freeend of the flap should be graftedpreviously, in order to
Plastic surgery; its principles and practice . ct. Mauclaire constructed a lowerlip and also replaced the skin below(which had been removed at opera-tion), by using a tlap whose pediclewas below on the neck at the side ofthe defect. The body of the flap ex-tended up over the sterno-mastoidmuscle, and its free end was on themastoid process, so that the portionwhich was to form the lower lip wascovered with hair. This operationis defective, inasmuch as there is nolining provided for the lip, and whenit is used the under surface of the freeend of the flap should be graftedpreviously, in order to furnish a lining. Italian ^Iethod.—There is littleto be gained from the use of a flapfrom the arm in the immediate re-storation of a lower lip unless this flaphas been previously prepared by fold-ing the end on itself, or grafting theunder surface to form a lining. Ifeither of these procedures are carriedout, the double epithelial-lined flap may be successfully implanted andlater shaped as desired. The arm flap may be also used to cover the. —Operation for the restora-tion of the lower lip and skin below)! it.(Mauclaire).—The dotted area indicatesthe defect. The dotted line indicates theoutline of the flap A, from the mastoidregion with pedicle below, which is shiftedforward to form the lip.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
