. Manual of operative surgery. Figs. 316 and 317.—(Monod and Vanverts.) RHINOPLASTY 191 the rest of the flap in position (Fig. 315). Do not use too many sutures nearthe pedicle, and in attempts at esthetic effect do not jeopardize the vitahty ofthe flap, which depends on the freedom of the pedicle. If the flap lives andunites in its new position, any defects in the appearance of the root of the nosemay be safely attended to subsequently. Keep the newly formed nasal open-ings patent by means of dressed rubber tubes or cigarette drains. 2. French Method.—In this operation pedunculated flaps take
. Manual of operative surgery. Figs. 316 and 317.—(Monod and Vanverts.) RHINOPLASTY 191 the rest of the flap in position (Fig. 315). Do not use too many sutures nearthe pedicle, and in attempts at esthetic effect do not jeopardize the vitahty ofthe flap, which depends on the freedom of the pedicle. If the flap lives andunites in its new position, any defects in the appearance of the root of the nosemay be safely attended to subsequently. Keep the newly formed nasal open-ings patent by means of dressed rubber tubes or cigarette drains. 2. French Method.—In this operation pedunculated flaps taken from thecheekb are used to repair nasal defect. Figs. 316 and 317 sufficiently describethe operation as performed by Nelaton. 3. Italian Method.—Skin for the repair of the nasal defect is obtainedfrom the anterior and inner aspects of the upper arm. Slep I.—Dissect from the upper arm a flap of skin, with its pedicle pointingtowards the elbow. Flex the shoulder and bring the free end of the flap incontact with the viv
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