Excision of two thirds of the mid face and prosthetic replacement.
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Biomedical subjects
Publications and source records attributed to G F Maillard.
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The authors present the simple technics of eye lid repair. The loss of skin and possibly of M. orbicularis oculi, is differentiated from that of the complete thickness of the eye-lid. The first can be treated by free Thiersch or Wolfe-Krause-split-skin graft or full thickness skin grafts, the second by direct suture or by various local advancement flaps according to the "quarter" rule of Mustardé.
The repair of large defects of the lid region may require complex reconstruction using skin, tarsus and conjunctival grafts or flaps. The authors have classified the lesions in three groups: inner canthus, lower lid and upper lid. For each group, the more applicable technics are described.
The use of xeroradiography for graphic visualization of both the bony and soft tissue structures of the head is presented. The advantages and indications are discussed.
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