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 . be filled out with graftsof adipose tissue, cut from the abdominal wall, or with subcuta-neous injection of melted paraffin. Artificial hair, mustache orbeard may aid in hiding the deformity. The cicatricial contraction occurring after the sloughing ofdeep burns produces horrible disfigurements. These rival thedistortions due to gunshot injuries seen
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 . be filled out with graftsof adipose tissue, cut from the abdominal wall, or with subcuta-neous injection of melted paraffin. Artificial hair, mustache orbeard may aid in hiding the deformity. The cicatricial contraction occurring after the sloughing ofdeep burns produces horrible disfigurements. These rival thedistortions due to gunshot injuries seen in military of eyelids, symblepharon, ankyloblepharon, eversionof the lower lip, dragging the chin down to the chest, obliteration 300 WAR SURGERY OF THE FACE. of the nostrils and loss of the nasal ala or the ears are frequentoccurrences from burning. Scars may become rough and irregularly elevated by an ab-normal development of fibrous tissue, caused by what has beencalled hypertrophy of the scar. Keloid degeneration of scars isquite frequent in negroes, and takes place also in the white occurs in the period of adolescence, not in the very young orthe middle aged ; and seems to be more frequent in scars left by. Fig. 135.— Another view of a late stage of disfigurement of cheek and nosefrom war wound. Probably suitable for prosthesis. (British Journal of Surgery.) suppurating wounds. This curious form of tumor has beenobserved to arise not only from scars due to burns, syphiliticulcers and other serious lesions, but from those left by leech-bites, acne pustules, herpes zoster, small-pox, and even fly-blisters. Moullin says that after small-pox the whole face maybecome expressionless by keloid transformation of the skin intoa rigid mask of livid, nodular, and furrowed tissue. Removal of keloid growths is often followed by prompt recur- GUNPOWDER TATTOOING AND LOCAL DISTORTIONS. 30I rence. The secondary tumor is not infrequently larger than theorigin
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