. The principles and practice of modern surgery . stic, or Taliacotian Operations.—When a portionor the whole of the nose has been destroyed by disease or accident, thedeficiency may be restored by a transplantation of skin from an adjoiningpart, the operation being varied according to the extent of the deformity. (1.) When the whole or greater part of the nose has perished, a triangularpiece of leather should be cut into the shape which it formerly presented,and be spread out flat on the forehead, with its base uppermost, and itsboundaries should be marked out on the skin with ink. Then the r
. The principles and practice of modern surgery . stic, or Taliacotian Operations.—When a portionor the whole of the nose has been destroyed by disease or accident, thedeficiency may be restored by a transplantation of skin from an adjoiningpart, the operation being varied according to the extent of the deformity. (1.) When the whole or greater part of the nose has perished, a triangularpiece of leather should be cut into the shape which it formerly presented,and be spread out flat on the forehead, with its base uppermost, and itsboundaries should be marked out on the skin with ink. Then the remainsof the old nose (if any) are to be pared, and the margins of the nasal aper-ture are to be cut into deep narrow grooves. When the bleeding fromthese wounds has ceased, the flap of skin marked out on the forehead isto be dissected up, and all the cellular tissue down to the periosteum withit, so that it may hang attached merely by a narrow strip of skin betweenthe eyebrows. When all bleeding has ceased, the flap is to be twisted Fig. on itself, and its edges are to be fitted into the grooves made for their re-ception, and to be fastened with sutures. The nose thus made is to besupported, but not stuff*ed, with oiled lint; it should be wrapped in flan-nel to support its temperature, and if it become black and turgid, owing ♦Vide Liston on Tumours of the Face, Med. Chir. Trans, vol. xx.; and FergussonsPractical Surgery, 2d edit. p. 507; also Lancet, Feb. and March, 1842. RHINO-PLASTIC OPERATIONS. 387 to a deficiency in the return of blood from it, a leech may be adhesion has thoroughly taken place, the twisted strip of skin, bywhich its connexion with the forehead was maintained, may be cut through,era little strip may be cut out of it, so that it may be laid down smoothly. (2.) The septum ox columna nasi is often restored by the same operationwith the nose itself, by means of a flap from the forehead; but it is better,as Mr. Liston proposes, to form i
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