. Journal of roentgenology . gative. Note made by Dr. Dean, that the external tumor masshas been removed by Roentgen and Radium therapy leav-ing white scar tissues. The tip of the nose is flattened, butthe result is fine. Within the nose is a mass the size of alarge hazelnut, rounded, hard and bleeds easily. Advise:Roentgen therapy and if no improvement, rhinoplasty. On 266 THE JOURNAL OP ROENTGENOLOGY June 19, 1918, rhinoplasty was performed by L. W. Dean,M. D., Iowa City, under ether anesthesia. Large pedicalflap was taken from the forehead to form the nose. Atiersch graft from left thigh wa


. Journal of roentgenology . gative. Note made by Dr. Dean, that the external tumor masshas been removed by Roentgen and Radium therapy leav-ing white scar tissues. The tip of the nose is flattened, butthe result is fine. Within the nose is a mass the size of alarge hazelnut, rounded, hard and bleeds easily. Advise:Roentgen therapy and if no improvement, rhinoplasty. On 266 THE JOURNAL OP ROENTGENOLOGY June 19, 1918, rhinoplasty was performed by L. W. Dean,M. D., Iowa City, under ether anesthesia. Large pedicalflap was taken from the forehead to form the nose. Atiersch graft from left thigh was used over exposed surfaceon forehead. The pathology report from section of noseshowed squamous cell carcinoma. Hot dressings were useduntil August 3, 1918. At this time the flap on nose was wellattached and there was no suppuration. There was somenecrosis in the center of the tiersch graft, but this slowlygranulated over and by the middle of September, 1918, thewounds were completely healed and the patient was Photomicrograph of Case 76S4 Made with 1/6 Lens and No. 4 Eye Piece ALLEN — EPITHELIOMA 267


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