. International record of medicine . tainer] then the idea, following upon the gratifying results tliathad occurred in the insertion of bones belonging tn another in-dividual, as liad been successfully practiced by Maceuen andPoncet, that in the present condiiions a bony support might beinserted under the uasal skin and left there, with tlie hope thattlie same might heroine organized and form a permanent por-tion of the mans econonij. Aftersomedeliberation I concludedthat the bretist bone of a fowl, from its angular shajio, wouldbest imitate the form of the nose and give the mo?t satisfactorys


. International record of medicine . tainer] then the idea, following upon the gratifying results tliathad occurred in the insertion of bones belonging tn another in-dividual, as liad been successfully practiced by Maceuen andPoncet, that in the present condiiions a bony support might beinserted under the uasal skin and left there, with tlie hope thattlie same might heroine organized and form a permanent por-tion of the mans econonij. Aftersomedeliberation I concludedthat the bretist bone of a fowl, from its angular shajio, wouldbest imitate the form of the nose and give the mo?t satisfactorysupport. I determined, therefore, to use the same in this pa- * See MedUcd Record, March 113, 1880. Weir, On the Relief of theDeformity of a Broken Nose by some New Methods. tients case, but I considered it essential that both sides of thebone used should have vascular supply, and, moreover, that thenew bone that I introduced should not be exposed at any pointin the nasal A triangular incision was therefore made in October, 1889,with the apex meeting just above the ends of the nasal bonesand its legs running down on each side to the base of the alaanasi. The incision was made into the skin tissue, but not intothe cavities of the nostril. The knife was then so employed as tosplit the skin belonging to the tip of the nose and the alas in adownward direction, and also similarly in an upward directionnearly to the level ot the frontal bones. This was accomplishedwithout entering the nasal cavity, save in one small spot whichwas closed afterward by catgut sutures. I had prepared in thisway a bed for my bone, and had, at the same time, skin of suffi-cient thickness and looseness to cover over tlie new piece ofbone after it had been inserted. At this period of the operationa young duck which had been chosen was killed, and its breast


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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186