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Plastic surgery; its principles and practice . Fig. 453. Pig. 454- Pig. 453.—Operation for complete loss of nose (Delpech).—This differs from the Indian operation only in the trident shape of the free extremity. The central tongue forms the columna, and the lateral tags line the alas. Fig. 454.—Operation for complete loss of nose {Landreaii).—The flap is transverse and the base of the pedicle is upward. A flap cut in this way eliminates the torsion. the arteries on each side of the nose. After the proper pattern has beendesigned, and the situation from which the flap is to be raised has SURGER
Plastic surgery; its principles and practice . Fig. 453. Pig. 454- Pig. 453.—Operation for complete loss of nose (Delpech).—This differs from the Indian operation only in the trident shape of the free extremity. The central tongue forms the columna, and the lateral tags line the alas. Fig. 454.—Operation for complete loss of nose {Landreaii).—The flap is transverse and the base of the pedicle is upward. A flap cut in this way eliminates the torsion. the arteries on each side of the nose. After the proper pattern has beendesigned, and the situation from which the flap is to be raised has SURGERY OF THE EXTERNAL NOSE 439 been selected, the outline can be marked out with nitrate of silverstick the day before, or with a scalpel at the time of operation, alongthe edges of the pattern. The flap in the original Indian operationwas oval and vertical, and was twisted i8o° to bring it into position.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky