. International record of medicine . Fig. 6.—After operation. Implantjition of a ducks sternam. bone, deprived of periosteum, was cut into a shape of nearly (ininch and a half long. The angular character of the bono waspreserved by taking the projecting vertical sternum of the duck Oct. 22, 1892.] WEIR: RESTORma SUNKEN NOSES. 451 for one side of this new nasal snpport and one of the attachedlateral portions for the other side, cutting away the secondlateral portion as not being required. This gave me a triangulnrportion composed of two very thin layers of compact structureof bone. I will ask a
. International record of medicine . Fig. 6.—After operation. Implantjition of a ducks sternam. bone, deprived of periosteum, was cut into a shape of nearly (ininch and a half long. The angular character of the bono waspreserved by taking the projecting vertical sternum of the duck Oct. 22, 1892.] WEIR: RESTORma SUNKEN NOSES. 451 for one side of this new nasal snpport and one of the attachedlateral portions for the other side, cutting away the secondlateral portion as not being required. This gave me a triangulnrportion composed of two very thin layers of compact structureof bone. I will ask attention laterto the character of the support, whichwas trimmed in such a way on its sides that the broader portionwas fitted downward and its narrower portion was at the upperend and rested upon the nasal bone. The skin accommodateditself without any tension over it and was secured by restoration of the nose was remarkably satisfactory (seeFigs. 6 and 7).. Fig. 7 —After operati Three weeks passed. The patients delight was great, andmine was greater. Unluokily, soon after he complained of an in-creased discharge from his nose, and 1 felt, by means of a probeintroduced through the nostril, that the lower layer of tissuewhich I had carefully preserved had yielded at a small the end of the seventh week a swelling appeared at the root ofthe nose, culminating in a little abscess which discharged andleft a persistent ulcer. In brief, at the end of eight weeks Ifelt that my procedure was not a success, and thought it wasnecessary to remove this foreign body. 1 reopened the old in-cision, exposed the bone on its right side first, and appreciatedthat on its left side there had been a good many firm adhesionsof the bone to the tissue, and resolved that I should only takeaway the right portion of the bone, which was undoubtedlyloose and useless. Unfortunately, in my endeavors to dividethe bone along its centfal jiortion so as to leave in
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
