On the operative treatment of hare-lip / by W.I. Wheeler.

  • Wheeler, W. I. (William Ireland), 1846-
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: On the operative treatment of hare-lip / by W.I. Wheeler. 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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    r - — s > CTQ 1 b J <0 , c i 2, < c 3 GO c A era J t a> * o c 5 3 1 C/5 P a p 2 ct «« 80140 s ° 3 & UD 111 'B iL ^gh tv. By Mr. Wheeler. 19 Host, wards ‘te right ii ittting ii| “s; across fe otsi wi seizing the lower' d forceps, I npi, ose to the hoot epicted in Plate 7. id >) keeping, as before, close! n extent . piece from it to allow tiuj t to remove the edge f the straight scissors. Sot irtaies, so 1 the sides, sing the lower] new® rtspondingto ^°i ini was s and opposite ita ts. cans11? it to esto' fre«k- iron111 .DOS' id the' sep! mnved,' toW0. ,1*11 >;y to witness the exquisite manner in which the parts came together, and the complete avoidance of any chance of an unsightly notch at the prolabium or red margin by the accurate position and carefulness with which the lower needle had been introduced. The child was now removed to its ward, and a suitable dose of Dover’s powder was given, mixed with a little sugar; it soon fell asleep, and in a feAV hours awoke, partook of some warm milk, and again went to sleep. 17th.—Parts a little swollen ; no undue tension ; ecchymosis under right eye, which is partially closed; child refusing food; very irritable. Ordered— I£. Calomelanos, gr. i. Sacchari albi, q. s. Ft. pulv. statim sumend. Bromidi potassii, gr. viii. Syrupi, 31- Aquae foeniculi, ad. §i. Ft. mist. cap. coch. parvuni quartis horis. Eye to be fomented with sponges wrung out of warm water. 18th.—BoAvels have been well acted on; child slept, and is taking nourishment; ecchymosis better ; can open eye to full extent. 19th.—Progressing favourably. 20th.—I placed the child under chloroform, and removed the needles with a rotatory motion ninety-six hours after operation, having first oiled their ends ; fresh plaster was adjusted, and those portions across the upper lip painted with collodion. On the 21st the plaster was again removed; the silken ligatures Avhich, as usual, remained, dropped off; the union was most satisfactory ; the elevation of the nose was all that could be desired; one nostril Avas not more spread than the other; both corresponded. The child left hospital on the 3rd of November. So completely did aided nature effect a cure, that scarcely by minute examination could the place of joining be perceived. In eleven months after, when I heard of this child, I Avas told there was no mark whatever to indicate that hare-lip had existed. Case VIII.—Mary C., aged ten months, a native of Clare, born of healthy parents—no history of deficient family development—was admitted into hospital, under my care, on 26th September, 1874, suffer- ing from single hare-lip on the left side, and separation on the same