Lectures on the operations of surgery : and on diseases and accidents requiring operations . sion at some points, the needles passingthrough them were allowed to remain, and a thread cast looselvaround them. The bandage around the head was also reapplied. 2d. Second dressing, parts all firm and healthy; the remainingneedles were now removed, and the bandage only reapplied, whichwas done to prevent talking; no pain in the part, and the patientin fine spirits. Ordered bowels to be opened with an injection,and the diet to be more nutritious, but still liquid. Nothing remarkable occurred in the su
Lectures on the operations of surgery : and on diseases and accidents requiring operations . sion at some points, the needles passingthrough them were allowed to remain, and a thread cast looselvaround them. The bandage around the head was also reapplied. 2d. Second dressing, parts all firm and healthy; the remainingneedles were now removed, and the bandage only reapplied, whichwas done to prevent talking; no pain in the part, and the patientin fine spirits. Ordered bowels to be opened with an injection,and the diet to be more nutritious, but still liquid. Nothing remarkable occurred in the subsequent treatment. All22 254 CONTRACTION OF THE MOUTH. dressings were taken off on the 15th inst., and the child allowed topursue her ordinary course of life. The mouth presented a verygood appearance, though the lips were somewhat thinner thannatural, and there was some difficulty in bringing them into closecontact, especially at the central portions. I have no doubt, how-ever, but that this defect will soon disappear. (Fig. 107 representsher eight weeks after the operation.) Fig. Remarks.—The annals of modern surgery hardly afford an ex-ample of more ingenuity than is exhibited in the design of theoperation just detailed. DiefTenbach, whose Tame as a plasticsurgeon is just beginning to be appreciated in this country, andwhose skill and success fully justify the eulogiums which are nowbestowed upon him, having been foiled in several attempts madeto relieve cases similar to the above, at last hit upon the beautifulexpedient illustrated by the operation. The great difficulty, in allsuch cases, arises from the constant tendency to contraction mani-fested by the cicatrice, which occasionally goes on to such an extentthat the orifice of the mouth is almost closed. At the first exami-nation of such a deformity, the remedy which seems to promisemost success is mechanical dilatation. Unfortunately, this is pro-ductive of but temporary relief, and has never, I believe, effecte
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