. Manual of operative surgery. js:Figs. 279 and -Rhinophyma. (Laurens.) Step 3,—Seize the median edge of the tumor mass with forceps and entrustthese to the assistant (Fig. 280). With knife or scissors shave off all the dis-eased tissues within the circle of the incision. Attend to hemostasis withforceps, ligature, pressure with hot pads or the thermo-cautery. Step 4.—Repeat Steps 3 and 4 on the opposite side. Step 5.—Remove the nasal plugs. Introduce short drainage tubes intoeach nostril. Cover the wounds with rubber tissue, perforated oiled silk orsilver foil. Apply compressive dressin
. Manual of operative surgery. js:Figs. 279 and -Rhinophyma. (Laurens.) Step 3,—Seize the median edge of the tumor mass with forceps and entrustthese to the assistant (Fig. 280). With knife or scissors shave off all the dis-eased tissues within the circle of the incision. Attend to hemostasis withforceps, ligature, pressure with hot pads or the thermo-cautery. Step 4.—Repeat Steps 3 and 4 on the opposite side. Step 5.—Remove the nasal plugs. Introduce short drainage tubes intoeach nostril. Cover the wounds with rubber tissue, perforated oiled silk orsilver foil. Apply compressive dressings. Field (Journ. A. M. A., June 14,1919) operates in two sittings—excising first one-half and later the other. Heuses skin grafts. The results in time are very good. Skin grafting is rarelynecessary. Major Seelig heartily condemns skin grafts as unnecessary andthe cause of subsequent disfigurement. He urges that the redundant tissuebe not shaved off too deeply, otherwise all sebaceous gland rests are removedand no nidusus of epithelium left
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