A manual of operative surgery . f the Opposite Side (Langenbecks Operation).— The most convenient shape to give thedefect is a quadrilateral one. From theupper and inner angle of the defect anincision (a b, Fig. 254) is carried downwardsalong the dorsum of the nose, nearly to theapex on the sound side. A second incision(c d) is made, parallel to the first, and runsfrom just below the inner canthus to thejunction of the ala with the cheek. Thelower ends of the two incisions are unitedby a third cut (b d), which runs just alongthe free border of the ala. The quadrilateralflap thus marked out is
A manual of operative surgery . f the Opposite Side (Langenbecks Operation).— The most convenient shape to give thedefect is a quadrilateral one. From theupper and inner angle of the defect anincision (a b, Fig. 254) is carried downwardsalong the dorsum of the nose, nearly to theapex on the sound side. A second incision(c d) is made, parallel to the first, and runsfrom just below the inner canthus to thejunction of the ala with the cheek. Thelower ends of the two incisions are unitedby a third cut (b d), which runs just alongthe free border of the ala. The quadrilateralflap thus marked out is detached fromthe cartilage as far up as the line of itsbase (a c). It is then drawn over to theother side, and is fixed by sutures to the freshened margins ofthe defective area. It will be noted that a triangular piece of soundskin is left at the tip of the nose. The defect left upon the sound sideshould be closed as far as possible, and should later on be grafted toprevent the contraction which would otherwise be FIG, 254 —LANGENBECKSPARTIAL RHINOPLASTY.
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Keywords: ., bookcentury1900, booksub, booksubjectsurgicalproceduresoperative
