Diseases of the nose and throat . In certaincases, where the deformity is not extreme, it is found to be feasibleto introduce a plate of platinum or celluloid underneath the skin,either by incision along the dorsum of the nose externally or by dis-section of the skin from the dorsum by means of a sharp pointedbistoury introduced through the nostril (Fig. 72), the plate being SYPHILIS OF THE NASAL FOSSAE. 179 pushed up into the pocket thus formed. In several cases in whichis was necessary to remove a metallic plate the newly-formed con-nective tissue excited by its presence proved to give adequ
Diseases of the nose and throat . In certaincases, where the deformity is not extreme, it is found to be feasibleto introduce a plate of platinum or celluloid underneath the skin,either by incision along the dorsum of the nose externally or by dis-section of the skin from the dorsum by means of a sharp pointedbistoury introduced through the nostril (Fig. 72), the plate being SYPHILIS OF THE NASAL FOSSAE. 179 pushed up into the pocket thus formed. In several cases in whichis was necessary to remove a metallic plate the newly-formed con-nective tissue excited by its presence proved to give adequate supportto a previously collapsed dorsum. For the correction of these deformities the subcutaneous injectionof melted sterilized paraffin, which may be moulded to any desiredform and in two or three months hardens to an almost cartilaginousconsistency, has been practiced on the suggestion of parts may be thus supported to the proper extent and thetissues are expected to tolerate the presence of suitably prepared. Fig. 72. Martins Bridge in Position. paraffin much more kindly than they do a plate of metal. The expe-rience of A. Stein in one case of saddle nose and one of caries of theseptum was most gratifying. He used paraffin melting at 480 to490 C. carefully sterilized. The so-called paraffin used by J. in a similar case was not the hard substance used in makingcandles but was a white vaselin, which is quite soft at ordinarytemperatures but is said to become firm after a time. The expe-rience of Delangre with suppuration in three out of seventeen casesin which paraffin had been injected for cosmetic or other effect in l8o DISEASES OF THE NOSE AND THROAT. various regions enforces the importance of strict observance of anti-septic details. Similar precaution is insisted upon by A. C. Heath,in whose case considerable local reaction followed the injection of adrachm and a half of paraffin, although the final result seems to havebeen fairly successful. It
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
