. International record of medicine . in\ine,_. ..u x-iiig orevery step of eachthick skin CO. -i<5l(h«oy. say,half an inch above its tip, ..as ueea ..lie: T?.j^^^-7,-^^or|estilages and tilted upward. The cartilages were then trimmedoft and shortened as required and the skin replaced. The resultwas a very satisfactory one. This completed the surgery of his nose, with one slight ex-ception, which took place several months later. The originalopening inward of the nose had intensified the naturally slighthump that many of us have at the junction of the bony and car-tilaginous structures. This he
. International record of medicine . in\ine,_. ..u x-iiig orevery step of eachthick skin CO. -i<5l(h«oy. say,half an inch above its tip, ..as ueea ..lie: T?.j^^^-7,-^^or|estilages and tilted upward. The cartilages were then trimmedoft and shortened as required and the skin replaced. The resultwas a very satisfactory one. This completed the surgery of his nose, with one slight ex-ception, which took place several months later. The originalopening inward of the nose had intensified the naturally slighthump that many of us have at the junction of the bony and car-tilaginous structures. This he insisted upon being removed, andit was done by a slight beveled incision on one side, whichpermitted, after raising up the skin, careful chipping off of the. Fig. After operation. offending cartilage by means of a fine engravers chisel. Thewound healed without a perceptible scar. I would remark herethat I have since twice removed such humps by incisions con-ducted, as had lately been published by Dr. Roe,* by gettingbeneath the skin from the nasal passages, and, with properlyshaped knives, or chisels, which I like better, have cut off sun-dry portions of the projecting mass. This interior incision is much more difficult and unsatis-factory than the one I resorted to in the case just given ;but in women it probably is the better one. For the relief of twisted noses, meaning those bent inthe cartilaginous portion (Fig. 15), or where even the osseousportion has been deviated also on the same side, requiresmuch more interference than is supposed. The bent por-tion of the bony part I yet like best to accomplish bymeans of a fine chisel introduced through the skin, chiselingoff the nasal bones on both sides from their maxillary at-tachments
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
