. International record of medicine . Fig. 2.—a and b as in Fig. 1; c, the turned-down skin flap from the transplantedosteo-cutaneous portion, confronting a refreshed surface ; d, correspondingto that of the raised skin of the originally sunken part of the nose. with in that the small portion of bone detached from theOS frontis and carried downward in the flap to fill up thegap of the sunken portion of the nose becomes absorbedand disappears, resulting in a reproduction of the deform-ity. This I have seen occur in two instances, and I nowshow to you a patient in whom this mishap Fig.
. International record of medicine . Fig. 2.—a and b as in Fig. 1; c, the turned-down skin flap from the transplantedosteo-cutaneous portion, confronting a refreshed surface ; d, correspondingto that of the raised skin of the originally sunken part of the nose. with in that the small portion of bone detached from theOS frontis and carried downward in the flap to fill up thegap of the sunken portion of the nose becomes absorbedand disappears, resulting in a reproduction of the deform-ity. This I have seen occur in two instances, and I nowshow to you a patient in whom this mishap Fig. 3.—The operation completed on both sides. It is not difiicult to overcome the deformity which re-sults from the flattened bony ridge of the nose by divisionby a chisel of the ossa nasi, first in the median line andsubsequently at the line of their attachments to the superiormaxilla, or by the use of forceps, to fracture their attach-ments to the same bone. The sunken bridge can then beraised and held in situ readily by a pin crossing the noseand secured by clamping on it a shot at each end, pressureon the shot-clamp being guarded against either by the inter-position of a small pad of iodoform gauze or, what I likebetter, of a small square of a thin shaving of sterilized little retention apparatus can easily be worn from five toten days without giving rise to any perceptible scar. The * Israel, in the Deutsche med. Wochemchriff, January 14, 1892,admits that his method, even where successful, is attended by threedrawbacks—viz., that the hollow between the forehead and
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
