Buffalo medical and surgical journal . Portions of periosteum and thin plates of bone may perhaps bechiseled from the forehead or superciliary ridges and successfullyturned into the gap to give solidity- to such newly constructedbridges; but I do not know how successfully such operationshave terminated, if, indeed, they have ever been actually under-taken. Bone-grafts from lower animals may prove valuabe. Ifthere is absence of the ala as the result of ulceration or theremoval of tumor, the surgeon should turn in a portion of the 732 CROOKED AND OTHERWISE DEFORMED NOSES. cheek or lip. In these
Buffalo medical and surgical journal . Portions of periosteum and thin plates of bone may perhaps bechiseled from the forehead or superciliary ridges and successfullyturned into the gap to give solidity- to such newly constructedbridges; but I do not know how successfully such operationshave terminated, if, indeed, they have ever been actually under-taken. Bone-grafts from lower animals may prove valuabe. Ifthere is absence of the ala as the result of ulceration or theremoval of tumor, the surgeon should turn in a portion of the 732 CROOKED AND OTHERWISE DEFORMED NOSES. cheek or lip. In these plastic operations he can often bringtogether the edges of the wound left by the transfer of tissue, soas to leave a mere linear scar. Under-cutting the skin beforeputting in the sutures permits the elastic skin to be drawn overthe gap. If the columella is gone, a portion of the upper lip, includingits entire thickness, can be taken out of the center of the lip andturned up to make a columna. It is then necessary to bring the Fig. Appearance ot Patient after Flap has become Adherent in New Site, but before theSuperabundant Tissue has been Removed (Levis). divided upper lip together as in hair-lip. This manoeuvre lessensthe size of the lip, but that is rather an advantage, since in suchnasal cases the lip usually appears to be relatively too large. You can see from what I have said that many persons havinggreat deformity of the nose can be much relieved if you studythe artistic bearings of the case. It is often only necessary todiminish what is too big in order to restore the proper relation-ship of the parts. If the bridge of the nose is too small, the sur- THE CORN-STALK DISEASE IN CA TTLE. geon can often give the nose a symmetrical appearance by gettingrid of a portion of the tip which is relatively, though perhaps notactually, too large. When there is a disparity between the noseand the lips or chin, he may be able to alter the size of the tip ofthe nose, if he cannot c
Size: 1422px × 1757px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectmedicine
