Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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When there is actual destruction of tissue and ulceration--the so-called "_lupus excedens_" or "_ulcerans_"--healing is attended with cicatricial contraction, which may cause unsightly deformity. When the cheek is affected, the lower eyelid may be drawn down and everted; when the lips are affected, the mouth may be distorted or seriously diminished in size. When the nose is attacked, both the skin and mucous surfaces are usually involved, and the nasal orifices may be narrowed or even obliterated; sometimes the soft parts, including the cartilages, are destroyed, leaving only the bones covered by tightly stretched scar tissue.
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