The preservation of the vitality of tissue when transferred en masse from one part of the body to another without the aid of a connecting pedicle is always attended by uncertainty, even under the most favorable circumstances. If one is able to accomplish this, however, especially in the restoration of a part important not only from a functional but from an esthetic point of view, such as the nose, there is a great gain over the pedicled flap method, which leaves a formidable scar on the face that it is difficult to conceal. Besides, even the latter method is attended by a certain amount of risk as it is uncertain whether or not the transplanted tissue will remain alive after the pedicle has been severed, and there is always great inconvenience and discomfort to the patient, while the flap is establishing a vascular connection in its new position. How