The bridge of bone holding the flap at its inferior end was now broken, leaving, however, the periosteum as part of the pedicle hinge. The whole flap thus outlined was rotated downward into position and sutured, as shown in Fig. 372. The margins at the base intended to form the subseptum were sutured behind the osseous structure, or, in other words, were doubled inward and fixed by suture. The bony strip was broken at the proper point to give prominence to the lobule. The margins for the nostrils were turned inward and doubled on themselves, and sutured with silk. Rubber tubes were left in the nares, for drainage and to keep them distended. =Rotter Method.=—The frontal flap is made in the shape shown in Fig. 373, containing a section of the frontal bone and its periosteum. The width of the flap is about three and a half centimeters wide. This flap is turned downward so that its raw surfaces look outward. Owing to the loose adherence of the bony section to the skin flap, he allows the raw bone surface to granulate over for four weeks, to fix it more solidly to the soft parts. The bone plate is then sawn into three sections made by two vertical incisions, made as shown in the illustration. The median section forms the bridge and dorsal prominence of the nose. The adherent skin of the lateral bony plates is dissected up sufficiently to permit of the proper formation of the sides and wings of the nose. This gives a shape to the nose, as shown in Fig. 374. The lateral margins of the integumentary flap are now sutured to the freshened margins of the old nose, and the remaining skin, if any, is made to cover the granulating surface; if this is lacking or insufficient, skin grafts are utilized to cover it completely. [Illustration: FIG. 373.—First step. FIG. 374.—Disposition of frontal flap. ROTTER METHOD.] =Schimmelbusch Method.=—The principle herein is to give an osseous wall to the whole length of the restored nose, covering well the skin inside and outside, and, if possible, to fix the new nose solidly at the pyriform opening.