Ein Beitrag zur Wangenplastik mit gedoppeltem Halshautlappen.




Czerny, Vincenz, 1842-1916.


Journal : Beiträge zur klinischen chirurgie ; vol. 4.

Tübingen : H. Laupp'schen Buchhandlung, 1889.

Description : 621-624 p., [1 l.] pl. ; illus: 1 phot. ; 24 cm.

Photograph : collotype on printed leaf.

Subject: Cheek — Cancer ; Meloplasty.

Notes :




Die Abbildung (vom 22. Januar 1889) zeigt einen ganz normal geformten Mundwinkel und die Oeffnung des Mundes, wobei die Ränder der Schneidezähne etwa 27 ½ cm klaffen. Die der Mundhöhle zugewandte Fläche des Lappens besass zwar noch epidermisartige Bedeckung, war aber rosig gefärbt und frei von Haaren, während an der Gesichtsfläche üppig Barthaare sprossten.—Page 623.

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Operation for an epithelioma in the cheek of a male subject, a 34 year-old skipper who smoked. The cancer occupied the corner of his mouth, extended to the masseter, and left a defect 38 mm. in diameter after extirpation, the size of a five mark coin (fünfmarkstück). Czerny cut a long flap (5 x 12 cm.) that he doubled over and sutured into place, the cuticular surface facing inward. Pedicle was situated at the base of the zygomatic arch and the apex of the flap extended as far as the sternomastoid from where it was carried with its platysma to the masseter edge of the defect. A second operation was required to cut into the fold of the flap to shape the corner of the mouth. The paper was transcribed from a lecture delivered at the Heidelberg clinic.





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