Identifier: plasticsurgeryit00davi (find matches)
Title: Plastic surgery; its principles and practice
Year: 1919 (1910s)
Authors: Davis, John Staige, 1866-1933
Subjects: Surgery, Plastic
Publisher: Philadelphia, P. Blakiston's son & co
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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st majority of plastic operations in civil practice have forthis object the correction of old defects due to trauma, burns, or neces-sarily mutilating operations. A certain number of cases, such as defectsleft by the radical removal of carcinoma of the lip. should be repairedat once. In war surgery much can be accomplished by proper earlycare, but many of the final results shown in published articles could bevastly improved by subsequent plastic work. The mental attitude of a certain group of patients who appeal tothe plastic surgeon to correct very shght or imaginary deformitiesof the face must be given careful consideration. These patients areoften suffering from melancholia with a suicidal tendency, and shouldbe brought under the influence of a skilled psychiatrist. Operativetreatment should be discouraged in this group, and avoided if in anyway possible, because in the end. no matter now perfect it may be. theresult is rarely satisfactory to such a patient. 343 344 PLASTIC SURGERY
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I I Pig. 305.—Arteries of the skin of the head and neck (Manchoi). p. Subcutaneousbranches from the parotid, sm. Cutaneous branches of the submental artery, cd. De-scending cervicals from the occipital artery, cs. Cutaneous branches of the superficialcervical artery. Ic. Cutaneous branches of the transversalis colli artery, ts. Cutaneousbranches of the suprascapular artery, ts. Subcutaneous supraclavicular artery, ra, rp.Anterior and posterior branches of the supraclavicular artery, raa. Anterior auricularbranches, rap. Posterior auricular artery. AS APPLIED TO THE VARIOUS REGIONS 345 SURGERY OF THE SCALP AND SKULLSCALP Plastic surgery of the scalp has to do with the repair of extensivedefects due to operation, trauma, burns, disease, or infection. The scalp extends from the superciliary ridges in front to the superiorcurved line of the occipital bone behind and, on the sides, to the tem-poral ridges. It consists of the skin and subcutaneous tissue, theoccipito-frontalis muscle and

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