Cases of deformity of various kinds, successfully treated by plastic operations / by Thomas D. Mütter.

  • Mütter, Thomas D. (Thomas Dent), 1811-1859.
Date:
1844
Catalogue details

Licence: Public Domain Mark

Credit: Cases of deformity of various kinds, successfully treated by plastic operations / by Thomas D. Mütter. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    George Desher, aged 19, in a fight with a person much stronger than himself, had a large portion of the right ala of Fig. 1. the nose bitten out. The parts healed kindly, but there remained the defor- mity exhibited in fig. 1. On a careful examination of the parts, I determined to per- form an operation essential- ly different from those usu- ally employed in similar cases. Accordingly, on the 3d of April he was brought before my class, and the following method of operat- ing put into execution:— 13eing properly seated, and the head supported by an assistant, I passed, flatwise, a long, thin, narrow, and sharp-pointed bistoury between the integuments and the sub- jacent cartilage in the direction of the dotted line a b, in fig. 1. When the point of the instrument reached the spot indicated by the letter b, I turned the blade upon its edge, and divided the cartilage and muscle freely from without, inwards. Then disengaging the knife, I passed it, in the same manner, in the direction of the line d c, and separated the cartilage fiom its attachment. These two incisions enabled me to pull the flap, included between them, downwards and forwards, so as to occupy the space originally occupied by the ala nasi. I next