Plastic surgery; its principles and practice . hard palate, obturators have been made to fillthe defect. To these in some instances artificial vela have been at-tached, to take the place of the defective soft palate. More or less success, as far as improvement of speech isconcerned, has been reported following theuse of these obturators. Internal Prosthesis.—In plastic surgeryit is better to avoid the use of any inorganicmaterial for a buried supporting inorganic material is used for internalprosthesis immediately under the skin, anyinjury may cause necrosis of the skin, andthe
Plastic surgery; its principles and practice . hard palate, obturators have been made to fillthe defect. To these in some instances artificial vela have been at-tached, to take the place of the defective soft palate. More or less success, as far as improvement of speech isconcerned, has been reported following theuse of these obturators. Internal Prosthesis.—In plastic surgeryit is better to avoid the use of any inorganicmaterial for a buried supporting inorganic material is used for internalprosthesis immediately under the skin, anyinjury may cause necrosis of the skin, andthe formation of a sinus which will persistuntil the prosthesis is removed. When in-serting prosthetic apparatus the incisionsshould be made so that the suture line isnot immediately over the prosthesis. It is advisable to cover the pros-thesis with subcutaneous tissue before suturing the skin, or when it isplaced in a tunnel to have the tunnel beneath the subcutaneous the materials best tolerated by the tissues those most often used. Fig. 6i.—Method of hold-ing an artificial nose in placeby means of springs. {Port.)The plugs A and A are onsprings. PROSTHESIS 43 are vulcanized rubber, or one of the metals, silver being probablythe best for general use. Celluloid is well tolerated by the tissues and causes no irritation. Inexperimental work I have found it unchanged after having beenburied in muscle tissue for months. ]\Ionks in 1898 used it for buildingout a bridge in correcting saddle nose. G. S. Thompson writes enthusi-astically on the surgical uses of celluloid buried in the tissues. Hesays that it should be molded to fit the place intended for it, andadvises that it be freely perforated. He has used it in many situationswith success (Fig. 63).
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
