In five weeks the two nasal bones united, end to end, and three months after the operation the space made by the removal of the bone had become filled with hard tissue, that eventually ossified in about seven months.
Fig. 404.—Second step.
Fig. 405.—Position nasal bone occupies.
Ollier Method.
Langenbeck Method.—A median incision is made through the remaining skin of the old nose, dividing it into halves. The incisions about the base and the shape of flap to be brought down from the forehead are shown in [Fig. 406].
The skin over the nose is dissected up, moving toward the cheek, exposing the bony frame of the nose.
From the lower border of the pyriform aperture two elongated triangular plates of bone are made, being attached posteriorly to superior maxillary bones. They should be made about one sixth inch wide.
By their subsequent displacement they are made to lie antero-posteriorly. With a saw the nasal bones are separated from their maxillary connection from below upward, making a median bone plate, which is raised with a levator to the height desired for the new nasal bridge, remaining attached to the frontal bone, as shown in [Fig. 407].
A frontal flap is taken from the forehead and sutured to the freshened raw margins of the lateral flaps.