Plastic surgery; its principles and practice . for the relief of partial ectropion of thelower lip.—i and 2. The dark line indicates the V-shaped incision. The lip is liberated,the wedge of tissue A is shifted upward, and the wound is closed. apex is sutured to the base of the opposite triangle. In this way thelip is lengthened and the margin lowered. The difliculty is that thetips of the long narrow triangles may slough, but despite this goodresults may be obtained. Szymanowski liberates the margin of the lip by a transverse incisionand lowers it, and then fills this opening by using a flap f
Plastic surgery; its principles and practice . for the relief of partial ectropion of thelower lip.—i and 2. The dark line indicates the V-shaped incision. The lip is liberated,the wedge of tissue A is shifted upward, and the wound is closed. apex is sutured to the base of the opposite triangle. In this way thelip is lengthened and the margin lowered. The difliculty is that thetips of the long narrow triangles may slough, but despite this goodresults may be obtained. Szymanowski liberates the margin of the lip by a transverse incisionand lowers it, and then fills this opening by using a flap from the cheekon each side. In my own experience, in pronounced cases, the use of a 554 PLASTIC SURGERY double-faced pedunculated flap from the arm has proved the method ofchoice. The use of flaps from the forehead has not proved of the Lower Lip (Partial)^—Where the ectropion isslight and involved only a portion of the vermilion border, Blasiuss orWharton Jones operation is often sufficient. The cicatrix is loosened.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
