Fig. 317.—Graefe Method.
Delpech Method.—The shape of the frontal flap was cut in the form of a trident, as shown in [Fig. 318].
The object of the arrangement was to give a rimlike lining to the two nostrils, the raw surfaces of the outer points being brought into contact with each other.
He also hollowed out a groove at the root of the nose, to better accommodate the pedicle when twisted. The steps are shown in [Figs. 319 to 321]. The pedicle was later severed when the conditions warranted it.
Fig. 318. Fig. 319. Fig. 320. Fig. 321.
Delpech Method.
Method of Lisfranc.—Lisfranc conceived the idea that if he carried down the one incision for the flap at the root of the nose somewhat lower than the other he would overcome some of the torsion at this point. This he consequently did, making the left incision half an inch lower than the right. The lateral incisions ascend at an angle of forty-five degrees (see [Fig. 322]), uniting in rectangular form at the scalp line, as shown, the rectangle of skin being utilized to make the subseptum.