Plastic surgery; its principles and practice . Fig. 681.—v. Hackers operation for the restoration of cheek and angle of mouth, con-tinued.—I. The flap A is divided across the posterior margin of the defect, and is suturedinto place. The flap B is shifted to cover the raw surface and complete the angle of themouth. 2. The pedicle A is used to fill in the remaining raw surface. midline), which is raised and sutured into the defect, skin surface two or three weeks the pedicle is cut and the raw surface may beclosed by reflecting the pedicle end, or by Fig. 682.—Operation t
Plastic surgery; its principles and practice . Fig. 681.—v. Hackers operation for the restoration of cheek and angle of mouth, con-tinued.—I. The flap A is divided across the posterior margin of the defect, and is suturedinto place. The flap B is shifted to cover the raw surface and complete the angle of themouth. 2. The pedicle A is used to fill in the remaining raw surface. midline), which is raised and sutured into the defect, skin surface two or three weeks the pedicle is cut and the raw surface may beclosed by reflecting the pedicle end, or by Fig. 682.—Operation to close a cheek defect (v. Hacker).—i. The flap A fromtthehairless portion of the neck is raised and inserted under the undermined skin B overthe masseter, and is sutured into the cheek defect, skin surface inward. The wound onthe neck is closed. 2. After two or three weeks the flap B is raised as shown. The flapA is divided at the line C and is sutured into the defect, thus completely closing it. Another method, also by von Hacker, is shown in the flap from the neck is raised, turned skin surface inward and passedunder a bridge of normal skin, which lies between the pedicle and the 58o PLASTIC SURGERY opening. The free end of the flap is sutured into the defect. In duetime one end of the bridge of normal skin is cut, the pedicle of the flapis also cut, and the defect is completely closed. Then the pedicle endof the flap, and the bridge of the skin are utilized to cover the raw
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
