War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . mly against thesides of the nose to confine the liquid paraffin to the dorsum. Ifthis be neglected, the injected material will escape into the sub-cutaneous tissues of the cheeks near the eyes and produce greatdisfigurement. Only five to ten minims should be injected atfirst, according to the depth of the hollow to be filled. Theneedle should then be
War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . mly against thesides of the nose to confine the liquid paraffin to the dorsum. Ifthis be neglected, the injected material will escape into the sub-cutaneous tissues of the cheeks near the eyes and produce greatdisfigurement. Only five to ten minims should be injected atfirst, according to the depth of the hollow to be filled. Theneedle should then be withdrawn and the effect of the modellingwith the operators fingers observed. If the paraffin hardens too REPAIR OF DEFORMITIES OF EXTERNAL NOSE. 345 rapidly, hot cloths may be laid upon the nose and sufficient soft-ening be thus obtained to permit a still further change in formby digital pressure. This secondary modelling is not possibleif the melting point of the paraffin be over about 1050 F. Ifexamination shows that an insufficient quantity of the meltedparaffin has been injected, a few more minims are deposited byinserting the needle in another place. This process may berepeated a number of times. The portion of skin raised is varied. Fie. 167.— Lawrences incision for stragetic osteoplastic displacement of nose. by changing the direction and depth of the needle point. Speedywork is required, because the paraffin soon hardens within theneedle. This renders further injection impossible unless thesyringe and its needle are dropped into boiling water again fora few moments. A rather large syringe with a screw nut togradually force down the piston is very convenient. It retainsthe heat longer than a smaller syringe and enables the surgeonto force cool and semi-solid paraffin into the tissues. The operation is rather painful, but is readily borne by the 346 WAR SURGERY OF THE FACE. average patient without anaesthesia. General anaesthesia may,of course, be used if desired. Loc
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
