Three new plastic operations on the nose and thorat / ny John Edmund Mackenty.

  • MacKenty, John Edmund, 1869-1931.
Date:
1911
Catalogue details

Licence: In copyright

Credit: Three new plastic operations on the nose and thorat / ny John Edmund Mackenty. 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.

    12/20 (page 10)
    prescription in medicine. The poor ultimate re- sults and the long and irksome after-treatment urged me to try the following' plastic procedure. The results when the operation was accomplished, as described below, have been satisfactory. 1 have observed no return of the deformit)- or interference with the normal development of the nose. In chil- dren under 12 years chloroform or ether anesthesia is used. Chloroform is preferred, as it engenders much less bleeding. In children over 12 and of phlegmatic temperament I have used, occasionally, local anesthesia. When general anesthesia is given Fig. 8.—Anteroposterior view. 1, Incision in the cartilage at the lines of angulation. 2, Line of possible shaving. bleeding adds tremendously to the difficulty of the operation. I have had in some cases a fairly dry field by packing the nose with adrenalin on cotton for 15 minutes before the anesthetic is given. In a few recent cases I have raised the flaps under co- caine anesthesia and completed the operation under ether. The operation; An incision is made well for- ward of the deformity, beginning as high as possi- ble on the septal side and extending down and 2 X-