Archives of ophthalmology and otology . , which was ovoidal, had shal-low depressions on its surface, and the skin which covered it could not be33 514 H. Knapp. moved without difficulty. Its consistence was that of a tough fibroustumor. The growth was in such a way connected with the lobule thatthe shape of the lobule was still recognizable on its anterior surface,whereas its posterior surface was lost in the tumor. The junction of thecartilaginous part of the auricle, and the fibrous part of the lobule, wasthe upper limit of the growth. An indrawn cicatrix on the anterior sur-face of the lobu
Archives of ophthalmology and otology . , which was ovoidal, had shal-low depressions on its surface, and the skin which covered it could not be33 514 H. Knapp. moved without difficulty. Its consistence was that of a tough fibroustumor. The growth was in such a way connected with the lobule thatthe shape of the lobule was still recognizable on its anterior surface,whereas its posterior surface was lost in the tumor. The junction of thecartilaginous part of the auricle, and the fibrous part of the lobule, wasthe upper limit of the growth. An indrawn cicatrix on the anterior sur-face of the lobule indicated the place where the ear had been pierced. A similar growth, which had only the size of a hazelnut (see figure 2),was on the lobule of the other ear. It likewise projected more on theposterior surface than on the anterior ; but a roundish swelling aroundthe cicatrix of the perforation on the front surface showed that the growthhad not sprung from the posterior part of the lobule alone, but from thewhole extent of the Fig. 3. Both ears were otherwise well formed, and had never suffered fromeczema or otorrhoea. Two years before the operation the patient had herears pierced, and wore heavy, common earrings about one year. Thelobes became gradually thicker, and obliged her to remove the earrings,but the tumors continued steadily increasing. I removed the larger tumor by dissecting from it an anterior and a pos-terior flap, and then separating it from its connection with the auricleabove, and the skin of the lobule in front. The flaps were so shapedthat after their union they reestablished the lobe of the ear in a mannerquite satisfactory. I united them with ordinary sutures, and to renderthe scar less conspicuous I had formed the anterior flap so much larger,as was necessary to double its edge and apply the sutures at the posterior Fibroma of the Lobule of the Ear. 515 surface of the newly-formed lobule. The lobule had the shape of thenatural lobule, but its cen
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Keywords: ., bookcentury1800, bookde, booksubjectear, booksubjectophthalmology
