The news and herald. (Winnsboro, S.C.) 1877-1900, 1880-01-20
NO NOSE AND NEW NOSE.

In one Of the Wards In bellevue
| Hospital, New York. lies New Jcr-
scy man named Thomas Coulter, but
! known i'll the hospital as "Tommy."
! He is robust young man Of twenty
two. At tho age Of ten his nose was
broken by q blow from Il stick, and
subsequent pugilistic accidonts SO
injured it that "lupoid," a sort Of
cancer Of the nose, entirely ate away
that useful and ornamental portion Of
the human economy.
Tommy, however, did not give up
hope. About two years ago, when
the disease was in its most malignant
stage, and long after chance of say
! ing even part Of the original organ
had gone by he went to Bellevue Hos
pital for treatment. Tho progress of
the disease was arrested, aud Tommy
recovered, but his face was wolullv
disIiyurcd. In the most prominent
part Of his coumtcnancc there was q
depression instead Of q protubcrancc,
and all that was left ofhis smcllcr was
|
the Affected and the wounded part of
| the lace healed up, Il scar formed, and
being OF unusual size it contracted
violently. The consequence of this
contraction WAS made apparent i'm the
cyclids, the lower lids being subjected
to turning out or inversion, which
exposed the mucous membrane of the
eye. 70 relieve the tension of the
face plastic operation was perform
CT a5outa II year ago, this operation
! proving so successful that tic ewes
! were restored nearly to their normal
condition. The tension was not cn-
tircly relieved, however, the scar be-
tween the eyes having painfully con
tractcd also, and Il separate operation
was found necessary to relieve it. The
latter operation was performed about
lour months ago. This healed very
rapidly, and then Tomny's desire for
Il new nose became very pronounced.
Somehow he had heard fan English
surgeon at birmingham building up u
ncSc for one OF Her Majcsty's subjects,
and he importuncd the surgeons at
NclicNuc day after day to try the cx-
pertinent upon him. SO earnest were
his cn:rcatics that at last the operation
was determined upon. Ills couravc
and endurance had been thoroughly
tested III the successive operations to
which he had been subjected and it
was felt that If the operation could be
successfully performed at all it might
be III this instance. Accordingly
| preparations were made for it and
now it is far toward successful accom-
| plishmcnt.
BUILDING TIE NEW NOSE.
About the lst of November last, six
weeks before the surgical ODcratiou
which laid the foundation for thc nose
that IS new growing in Tommv's face
was performed, the first step toward
| 'hc end to be attained was taken. The
middle finger Of the left hand was
frozen by being put in freezing
miAtArc Of ice and salt. Then tic
nail was removed. Nitric acid was
applied to destroy the matrix of the
nail SO that no nail would grow.
During all these preliminary opera
uons Iommy's courage tagged not,
and his determination was as firm as
ever TO have the new nose built. Inl-
| portunity and endurance had triumph
ed and on the afternoon Of tile l2th Of
Dcccmbcr last, just one month pre-
Vlous to the reporters visit to Tom
my's couch, the operation was per-
formed. First ofall the subject was
placed under the influence of an
anesthctic. The skin was then re-
moved from the end of the finger to
abou! the origin Of the nail-tho froz-
en-, nailicss finger already dcscibcd.
TWO tlaps were raised from tho pal
mate surface of tho finger and IL silver
wire armed with needle at either
chd was passed through the end Of the
finger. Two flaps were also raised
from the face on either side of the
opening Of the nose and then the end
OF the finger was placed in q pocket
nhadc IN the skin where the nose
formerly had been. The raw surfaces
OF the flaps Of the finger were then
stitched to the raw surfaces Of the
flaps Of the face.
AT DEATHS DOOR.
AT This stage Of the operation, owing
to tic palm Of the hand being placed
over the mouth and the trickling OF
blood into tho windpipc, breathing
was stopped. The patient became
black in the face, and death was i'm
mincnt. The operating surgeon, with
Wondcrtul GOODNESS, at once opened
the larynx and inserted n trachcotomy
tubc-thcn the patient began BREATH
ing again, his life being saved by the
Judgment and skill displayed in the
application of artificial respiration.
The necessary raising Of tho hand in
order to perform trachcotomy result
cd in tearing some of tho stitches,
which were then replaced and the
surgical part of the operation was
complete. It only remained to bind
up the wound air-tight and stationary.
Linen and canvas, soaked in plaster
OF Paris, were then wound round and
round the mans face and head, so that
when tho plaster dried he would be
unable to move either, and his hand
also is held in position by plaster Of
Paris b"ndagcs. Tommy was in cx-
ccllcnt condition when thc operation
was performed, and he has been doing
we'll ever since. lie is able only to
partaEc Of fluid food, and this is given