Plastic Surgery; Its Principles and Practice

Plastic Surgery; Its Principles and Practice

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1919 edition. Excerpt: ...after the accident. Multiple ulcers may be seen scattered over the thin scar. Note the superficial vessels in the scar. The eyelids are drawn upward and outward, giving a Mongolian expression. The lids could be closed only with an effort. The entire scar is tightly drawn over the underlying bone and the slightest injury causes an ulcer. 3. Two weeks after a relaxation incision was made across the forehead which was grafted with a single long Ollier-Thiersch graft. Note the relief of tension and the improved appearance of the ulcerated area, due to relaxation of the scar. The problem is to combat infection, build up the condition of the patient, and to cover the area with skin. There has been a good deal of dispute as to the best time to graft, whether immediately after the accident, or after granulations have formed. My own preference is to 1 2 3 Fig. 309.--Complete scalping, continued. 1. Two weeks after making the relaxation incision and grafting. Note the ease with which the eyes are shut and the position of the lids. 2 and 3. Six months after grafting. Note the improved condition of the scar. The Mongolian appearance has disappeared and the closure of the lids is normal. There is still some sensation of tightness over the vertex. This will be relieved by properly placed relaxation incision with grafting. wait until the defect is covered with granulations, inasmuch as the chance of success is greater on account of the improved blood supply and the patient is usually in better condition to stand operative procedures. If immediate grafting is decided on, Ollier-Thiersch grafts are ordinarily used and are placed directly on the denuded area. Strips of the avulsed scalp (if not too much bruised) can be used, after proper cleansing, more

Product details

  • Paperback | 230 pages
  • 189 x 246 x 12mm | 417g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236593529
  • 9781236593528