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.

    16/20 page 14
    amount of later splinting will prevent the deformity from partially or totally returning. When the deformity involves the bony septum it is generally in the shape of a ridge or angular de- viation extending upward and backward. To rem- edy this a small hole is made in the cartilage where it joins the bone. A mucous membrane elevator is introduced through the opening to the distal side and separates the mucosa from the concavity of the ridge. On the proximal side the mucous membrane is also elevated from the convexity of the ridge. The strip of bone thus exposed is removed. Then with flat bone forceps the upper and lower segments are broken over to the center line. Their convergence fills in the space formerly occupied by the bone removed, thus neither crowding nor over- lapping occurs, and the septum tends to remain in the center without splinting. I devised this operation five years ago and have done it over lOO times. The earlier cases were not all successes. In one case the loosened piece of cartilage sloughed out, but in my later cases T have
    digitised image 1
    digitised image 2
    digitised image 3