This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1868 edition. Excerpt: ...on one side to remain nearly undisturbed. In the formation of a nose by this method, Pancoast attached great importance to beveling and dovetailing the surfaces to be united, in order to increase the extent of the surfaces, so that, in the event of partial failure, the chances of union in some parts might be ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1868 edition. Excerpt: ...on one side to remain nearly undisturbed. In the formation of a nose by this method, Pancoast attached great importance to beveling and dovetailing the surfaces to be united, in order to increase the extent of the surfaces, so that, in the event of partial failure, the chances of union in some parts might be increased. This was done by cutting the flap with a larger surface internal than external, and in preparing for the reception of the flap, by dissecting and turning toward the median line some of the integument of the nose, and cutting under the integument outside of this incision, so that the edge of the flap might go in like a wedge between these raised sides, and present four surfaces instead of two, viz., two surfaces upon the flap, i.e., the two sides of the wedge, and the two surfaces made upon the stump of the nose in the groove for receiving the flap. It is doubtful, however, whether any such complication at any time increases the chances of union. While the union of the flap, and its permanent adaptation to its new form are in progress, it is kept elevated over substances placed beneath it, and a tube is placed in each new formed nostril, to enable the patient to breathe while his mouth is closed. This packing may conveniently be made of lint, permeated with the solution of chloride of zinc, in water, and glycerine, already described in the Introduction. The zinc and the gly Fig. 14. After Operation. Pancoast's Operative Surgery. Velpeau's Surgery, Mott'a ed., Vol. i., p. 687. cerine retard putridity, not only in the packing, but upon the neighboring tissues. If the columna fails to attach itself, or slouches off, another operation becomes necessary to supply or reattach it. The final modeling of the pedicle, should be done so as not...
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