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 . the disfigurednose. This is done by means of a plaster-of-Paris impression ormould in the manner adopted by dentists for making is possible to lift up the periosteum and thrust the transplantor graft under this covering of the nasal bones. Cases of mod-erate deformity are satisfactorily corrected by paraffin , which has
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 . the disfigurednose. This is done by means of a plaster-of-Paris impression ormould in the manner adopted by dentists for making is possible to lift up the periosteum and thrust the transplantor graft under this covering of the nasal bones. Cases of mod-erate deformity are satisfactorily corrected by paraffin , which has a melting point of about 105° to no° F., issterilized by heat, and while fluid is injected with a sterilizedand heated syringe under the skin so as to fill the hollow in the 344 WAR SURGERY OF THE FACE. dorsum of the nose. A large hypodermic syringe, such as isused in veterinary surgery, is all that is necessary. A few dropsof the heated and therefore fluid paraffin should be injectedbeneath, not into, the skin; while still soft, this waxy substanceis moulded with the operators fingers. It promptly solidifies asit loses heat, and retains the form given it by the surgeon. Theskin of the nose must be sterilized before the puncture is made. Fig. 166.— Rouges method of gaining access to the internal nose by an in-cision within the mouth between the upper lip and upper alveolus, which per-mits elevation of lip and nose. and the operators hands must be sterile. During the injectionthe fingers of an assistant should be pressed firmly 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 Theneedle should then be withdrawn and the effect of the modellingwith the operators fingers observed.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
Size: 1395px × 1791px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
