Preparatory and after treatment in operative cases . Fig. 247.—Dressing for Wounds of FaceAbove Nostrils. (Gerster.) dage should be made of oneand a half inch is used for the pur-pose because it is more pli-able than linen and will con-form more readily to theirregular outline of the of the face healrapidly, the outcome of thevascularity of the part, and,perhaps, also because of thepresence in large quantity ofglandular elements in thissituation, resembling, inthese regards, the suture material best em-ployed in this portion of thebody is horsehair or fine
Preparatory and after treatment in operative cases . Fig. 247.—Dressing for Wounds of FaceAbove Nostrils. (Gerster.) dage should be made of oneand a half inch is used for the pur-pose because it is more pli-able than linen and will con-form more readily to theirregular outline of the of the face healrapidly, the outcome of thevascularity of the part, and,perhaps, also because of thepresence in large quantity ofglandular elements in thissituation, resembling, inthese regards, the suture material best em-ployed in this portion of thebody is horsehair or fine. Fig. 248.—Bandaging Upper Portion of One Side of Face. (Foote.) OPERATIONS ON THE FACE 361 silk-worm gut. The subcuticular suture is followed more fre-quently by suppuration than the usual interrupted suture. Thisis perhaps due to the trauma to a large number of glandular ele-ments of the skin, which are the habitat of bacteria as far as theirducts are concerned, and the needle, passing through them later-ally, liberates the bacteria, permitting of invasion of the surround-ing tissue. A fine silk-worm gut threaded upon a slender Ilagedorn needle,introduced in the interrupted method and tied just sufficientlytight to hold the tissues in apposition without strangulation, willproduce desirable results. The sutures should not be permitted toremain in situ longer than six days, when they should be carefullyremoved, using slender scissors for the purpose and avoiding un-necessary trauma to the surrounding skin surfaces. The needleholes will then disappear very rapidly. The wound may then
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
