Contributions to practical surgery / by William Stokes.
- Stokes, Sir William, 1839-1900.
- Date:
- 1865
Licence: Public Domain Mark
Credit: Contributions to practical surgery / by William Stokes. 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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![important improvements that have of late years been made in operative surgery; for example, the osteopalinthesis or osteoplastic operation of the superior maxilla, also the ingenious modifications and improvements in the uranoplastic and Indian rhinoplastic opera- tions. These are only a few of many with which his name is justly (ionnected. In the following observations I wish to draw particular attention to a case in which the last-named of these operations— namely, the Indian rhinoplastic, as modified by Langenbeck—was performed by me; and also to another operation, which I believe is novel in this country, namely, the sub-periosteal resection of the elbow-joint. I shall commence by adverting to the particulars of the case of Thomas Scally, Avhose portrait was most successfully taken by ]\Ir. Connolly, both previous to and after the performance of the opera- tion, as shown in the accompanying chromo-lithographs by ]\Ir. LeAvis. I.—Extirpation of the contents of the Orbit for Lupoid Ulceration engaging the Eyebrow, Eyelids, Conjunctiva, and Cornea of the Right Eye; Indian Rhinoplastiaperformed.—Thos. S., aged nineteen, Avas admitted into the Meath Hospital on August 27th. A glance at the portrait Avill show the condition of the patient on his admission. The rodent ulceration engaging the eyebrow, lids, ocular con- junctiva, and cornea of the right eye measured, in its transverse diameter, three inches and one-third, and in its vertical diameter tAvo inches. The disease had lasted nearly seven months; it commenced, at the inner angle of the eye, by the formation of a “ pimple,” Avhich, after remaining Avithout any alteration for fully a month, commenced to spread along the loAver lid, toAA'ards the outer angle of the eye. The ulcerative process then apjAcared for a time to be arrested, but soon recommenced at the primary scat of the ulceration, taking, hoAvever, an upAvard course, spreading over the upper eyelid. In less than three Aveeks the circumference of the ulceration Avas completed. About eight Aveeks before the perform- ance of the operation Avhich I had recourse to the sight of the patient became affected, oAving to the ulceration commencing to spread over the conjunctiva. The sight of the eye Avas completely lost in about a fortnight, as far as the poAver of distinguishing objects Avas concerned, but the retina Avas still sensitive to light, shoAving that the deeper structures of the eye Avere pi'obably unaffected by the](https://iiif.wellcomecollection.org/image/b22380036_0006.jp2/full/800%2C/0/default.jpg)
