Plastic surgery; its principles and practice . growth is removed, or scar tissue is divided, and the flap is heldupward. The under surface of this flap, from which mucous mem-brane is lacking, is covered with a flap from the skin of the neck,the pedicle of which consists entirely of the underlying soft parts and 572 PLASTIC SURGERY periosteum along the mandible. The connection with the surround-ing skin is completely severed, the flap is turned up, skin surface towardthe mouth, and is sutured to the edges of the gap in the mucousmembrane. The cheek flap is then turned down and sutured overthis
Plastic surgery; its principles and practice . growth is removed, or scar tissue is divided, and the flap is heldupward. The under surface of this flap, from which mucous mem-brane is lacking, is covered with a flap from the skin of the neck,the pedicle of which consists entirely of the underlying soft parts and 572 PLASTIC SURGERY periosteum along the mandible. The connection with the surround-ing skin is completely severed, the flap is turned up, skin surface towardthe mouth, and is sutured to the edges of the gap in the mucousmembrane. The cheek flap is then turned down and sutured overthis. This method is valuable in certain instances, one advantagebeing that the entire operation can be completed at one sitting. Thedisadvantage is that the circulation through the pedicle will not alwaysbe sufficient to nourish the flap (Fig. 670). METHODS OF REPAIRING DEFECTS INVOLVING THEFULL THICKNESS OF THE CHEEK Many operations have been devised for the repair of defectsinvolving the full thickness of the cheek, but only a few of the best.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
