Bardenheuer Method.

Staffel Method.—Staffel has also utilized pedunculated flaps taken from the forehead to correct defects of the cheeks and mouth.

His method of procedure in an aggravated case resulting from mercurial stomatitis with resultant cicatricial trismus is shown in [Figs. 279 and 280].

Two pedunculated forehead flaps were employed in the above case as well as two flaps each attached by a broad pedicle from the skin under the chin Tripier fashion, and although the patient thus operated upon was only five years of age, an excellent result was obtained.

Fig. 279. Fig. 280.

Staffel Method.

EMPLOYMENT OF PROTHESES

When the defect of the cheek due to the removal of a greater part of its structure is so large as to frustrate all attempts at its correction we may resort to the employment of protheses made for the purpose.

In [Fig. 281] a case of Morris is shown following the removal of a myeloid sarcoma involving a greater part of the upper cheek, the eye, and the palate. The operator had a prothesis constructed by Hayman, which provided not only an artificial cheek, but also an eye and the palate.