Instead of sutures he dissected up the old nasal borders and slid the flap borders into this groovelike arrangement, holding it in place with the aid of sticking plasters.
With the above method the pedicle was allowed to remain intact. [Fig. 323] shows the position of the flap, and the treatment of the subseptal section.
Fig. 322. Fig. 323.
Lisfranc Method.
Labat Method.—Labat uses a frontal flap shaped as in [Fig. 324]. The left bordering incision is carried down one half inch below the point of beginning on the right and carried downward in such manner that its lower point lies in a line with that of the right above it.
The object of this was to overcome torsion, and, where obtainable, the small triangle of healthy tissue at the root of the nose, as shown in the illustration, was dissected off from above downward, and turned downward with the cutaneous side facing the nasal chasm and its dissected side facing that of the flap. He avoids injury to the angular artery, as should be done in all cases. The pedicle was replaced at a second operation.
