Reconstructive surgery for the middle one-third of the face.
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Biomedical subjects
Publications and source records attributed to R T Farrior.
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The lower nasal cartilages are sophisticated in contour as they exist in the normal position in the live patient. A different concept of the anatomic contour and twist of the cartilage is presented in anticipation of applying this information to surgical correction. Many cadaver dissections have been performed to demonstrate anatomic and surgical detail. The complex problem of surgical correction is simplified in four basic techniques from which the surgeon can select according to the existing anatomy. The contour of the "average normal" alar cartilage is presented from a different perspective, and average measurements for the remaining caudal segment are given as a guide for the surgeon.
A few modifications in unusual situations of regional flaps in the head and neck are demonstrated. It is the author's hope to stimulate the surgeon to use some imagination, incorporating a variety of time-proven principles and some unique situational modifications. Emphasis is placed on the continued need for the tubed pedicle flap, de-epithelialization of flaps and imbrication about the margins of the defect, and the use of the horizontally split deltopectoral flap for the simultaneous closure of internal defects and coverage of external defects for through-and-through wounds.
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