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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    Operation of P. Roux.—Professor Roux, not satisfied with the measures of his namesake, goes so far as to saw out an inch or more of the bone, and then by drawing the lateral flaps towards each other, he thus diminishes the breadth of that part of the face involved in the disease. Then detaching the flaps,he draws them across the opening in the bone, and the sutures which-hold and unite the soft parts are, for the most part, sufficient to hold the bones in their proper places. Operation of Mr. Morgan.—The operation of Mr. Mor- gan consists in, first, removing the entire lip by a. semilunar incision, the concavity of which is uppermost; and second, in making an incision also curvilinear and parallel to, and about an inch or more below the first. The skin included between the two is then carefully detached, except at its extremities, and lifted into the place occupied by the diseased lip. Velpeau gives another explanation of this plan of Mor- gan ; but from all I can ascertain, the process, as just de- scribed, was the one practised by that gentleman. Operation of Blasius.—M. Blasius has performed a very simple operation, when the tumour was large; and, according to his statement, with decided success. After removing the diseased mass by a common V-shaped incision, he next di- vided the integuments along the base of the lower jaw, by two incisions which commenced at the entering angle of the V and extended an inch or more in the direction specified. Lifting the flaps, he made them occupy the place of the original lips. It will be perceived that this plan is somewhat similar to the one employed in the case I have just reported. Operation of Dieffcnbach.—This extraordinary surgeon has, among many other plans for restoring the lip, performed one apparently hazardous and severe, but, nevertheless, ac- cording to the reports of others as well as those of Dieffen- back himself, exceedingly useful. The following description is taken from Zeis:— “ Having pared away the useless remains of the former diseased lip, or separated the cicatrised margin, a horizontal