Fig. 117.—Coaptation of Wound.
Fig. 118. Fig. 119.
Greene Method.
The bistoury is thrust through the lobule at the point A and an incision is made to follow at a little distance the defect along the line D. This frees the cicatrix except at the pedicle A. A transverse incision is now made above the point A corresponding to the curved exsection of the opposite side except for a thin strip of tissue B. This delicate little flap is preserved and severed a short distance beyond.
The raw edges when now brought in apposition will assume the form in [Fig. 119]. The wound is sutured as in the simpler operation.
Fig. 120.—Noyes’s Clamp.
These operations are best performed under local anesthesia, the two-per-cent eucain being preferred. There is practically little bleeding, but even this may be avoided by applying a large Noyes’ compression clamp with its angular arms so placed as to include the entire lobule ([Fig. 120]).