4. Historical Perspectives 1500 BC: -- Lady Surpunakha’s nose reconstructed by Indian court physicians. 700 BC: -- Sushruta Samhita describes cheek flap for nasal reconstruction. 14th century: -- Branca family develops Italian Method. 1794: -- Gentleman’s Magazine in London describes Indian Method. -- Fosters interest in nasal reconstruction in Europe.
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8. Processes in Visual Perception “ Our eyes normally pass over the smooth flat expanses of the face, lighting on the ridges and valleys that create facial contour and landmarks” “ We see color, texture and contour changes or the absence of a feature unit that surprises the eye and causes it to stop in its normal unconscious scanning on the unexpected” Source: Menick (1987)
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22. Technique Selection: Surface Repair Source: Leach (2003) Composite Graft Soft Triangle PMFF FTSG 2° Intention Columella Cheek Advancement FTSG, Rhomboid, Rotation, Cheek Adv 1° Closure Sidewall PMFF FTSG, Rhomboid, Rotation 1° Closure Dorsum Nasolabial 2° Intention Ala PMFF Bilobed, Rotation 2° Intention Lobule > 1.5 cm Exposed Bone / Cart < 1.5 cm < 1 cm < .5 cm Defect Size Site