The objection to the direction of making the flap in this manner is that the consequent cicatrization has a tendency to draw the mouth out of its normal position on the wounded side.
Fig. 463. Fig. 464.
Dieffenbach Method.
The following methods show the taking of the flap from the skin of the nose itself. Unless the defect be very small such methods are objectionable.
Fig. 465.—Heuter Method.
Fig. 466.—Szymanowski Method.
Szymanowski Method.—In the latter method of Szymanowski the flap must be stretched considerably, to close over a lengthy deformity, encouraging gangrene. The deformity is not so great, however, as with the two preceding methods.