. The principles and practice of surgery. peatedly closed an opening on the sideof the nose, or supplied the loss of a portion of the end of the nose after the removal of an 337- In such cases, however, the pedicle is always cut at the end of three or fourweeks, and replaced in the forehead. Inthe accompanying wood-cuts (fig. 326)is represented the case of a woman, theend of whose nose was bitten off in abrawl, January 1st, I operated onthe seventh day after the injury. Onemonth later she was placed under theinfluence of chloroform, for the pur-pose of having the pedic
. The principles and practice of surgery. peatedly closed an opening on the sideof the nose, or supplied the loss of a portion of the end of the nose after the removal of an 337- In such cases, however, the pedicle is always cut at the end of three or fourweeks, and replaced in the forehead. Inthe accompanying wood-cuts (fig. 326)is represented the case of a woman, theend of whose nose was bitten off in abrawl, January 1st, I operated onthe seventh day after the injury. Onemonth later she was placed under theinfluence of chloroform, for the pur-pose of having the pedicle divided andrejDlaced, but before I was ready tooperate she ceased to breathe, beingkilled by the anaesthetic. The wood-cuts represent, therefore, the conditionof the patient immediately prior to the separation and replacement ofthe pedicle, which would have completed the operation. 1 Rhinoplasty, a paper read before the New York Academy of Medicine, February, 1869,and published in the Bulletin. 2 The Med. Bee., New York, May 18, Result of Operation. By the Author. RHINOPLASTY BY TRANSPLANTATION. Gil Fig. 327 represents a case in which an epithelioma was removed bythe author from the side of the nose, the wound being repaired by in-tegument transplanted from the forehead. The dotted lines indicatethe original incisions. One year after the operation, when this photo-graph was taken, the cicatricial lines indicating the course of the inci-sions were nearly obliterated. Rhinoplasty by Sliding, generally called the French Method.—If the loss of integument is very limited, this method is- sometimespracticable; but the tension of the flap necessarily resulting from thestretching of the skin in the process of sliding, is apt to draw the nose,eventually to one side. In other cases the union fails wholly, and theflap retreats to its original position. We have usually avoided theseaccidents in a measure, however, by supporting the integument of theface by adhesive plasters, an
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