Buffalo medical and surgical journal . und had healed, the patienthad a nose which was of a pretty good shape, but it was some-,what flabby in the region of the bridge. This is overcome bywearing a pair of spectacles which have little pads on each sideof the nose like eyeglasses. These pads pinch up the soft bridge and give it a more natural appearance. This patient has a muchbetter nose than before, although it is, of course, not as good as anormal nose. The other dav she came into mv office wearing athin veil instead of the thick black one she had been accustomed towear. This proved to me th
Buffalo medical and surgical journal . und had healed, the patienthad a nose which was of a pretty good shape, but it was some-,what flabby in the region of the bridge. This is overcome bywearing a pair of spectacles which have little pads on each sideof the nose like eyeglasses. These pads pinch up the soft bridge and give it a more natural appearance. This patient has a muchbetter nose than before, although it is, of course, not as good as anormal nose. The other dav she came into mv office wearing athin veil instead of the thick black one she had been accustomed towear. This proved to me that she considered the deformity tohave been greatly overcome. Another way of relieving this sort of deformity is to take alarge oval flap from the forehead and turn it down with the skin sur-face toward the interior of the nose. A flap can then be takenfrom each cheek and slipped over the corresponding half of thiseverted or turned-down frontal flap. These super-imposed flapsmake a thick mass which simulates the nasal bridge. Fig. 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
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectmedicine
