Knoxville daily chronicle. [volume] (Knoxville, Tenn.) 1870-1882, 1880-01-18

finger. Two flaps were also raised
from the face on either side of the
opening ofthe nose, and then the
end of the finger was placed in q
pocket made in the skin where the
nose formerly had b cen. The raw
surface Of the flaps of the finger were
then stitched to the raw surfaces of
the flaps Of the face.
an All DEATHS DOOR. aerr nat
At this stage of the operation,
owing to the palm of the hand being
placed ovel the mouth and the trick.
Hing of blood into the windpipe,
breathing was stopped. The patient
became black in the face, and death
was imminent. The operating sur
geon. with wonderful GOODNESS at
once opened the larynx and inserted
7 a tracheotomy tube; then the patient
began breathing again, his life being
saved by the judgment and skill dis
played in the application Of artificial
respiration. The necessary raising
Of the band in order to perform
tracheotomy resulted in te ring some
of the stitches, which were then re-
plac d, and the surgical part of the
operation was complete. 1t only re-
manned to bind up the wound air
tight and stationary. Linen and can
vas, soaked in plaster of Paris, were
then wound round and round the
mans face and head, so that when
the plaster dried he would be unable
to move either, and his hand also is
held in position by plaster of Paris
bandages. Tommy was in excellent
condition when the operation was
performed, and he has been doing
we'll ever since. He is able only to
partake Of fluid food, and this is given
him through tube passed into his
mouth through the fingers and under
meath the hand. But for his labored,
stentorian breathing, the observer
might think him dead. so quietly does
be lie and so bloodless are his lips
and cheeks. He is under the influ-
ence of morphine at all hours, but he
is not always unconscious, and he |
uses his right hand and arm, which !
are free, TO indicate his wishes.
TOMMY's NEW NOSE. 40
Iii now more than a month that he
has lain thus immOvable, waiting for
his new nose to grow from the middle
finger of his hand, Already the fl Aps
taken from the finger have united
wi h the flaps taken from The face
AS the laps unite the process of form
ing the new nose b comes more aud
more interesting. Nature has begun
10 perform her snare OF the work, but
he supply Of blood necessary to noure
sh the growing nasal organ must npt
be too little or too great. II it IL too
title. the new nose will die; It too
great, new blood vessels will not form
III plan sufficiently comprehensive.
At first it was necessary that the
ilgitaI arteries OF the finger should
Keep up their supply of nourish
nent, but If this was maintained the
blood vessels of the new nose
YOU d be only partially developed
fence il becHmes incumbent upon the
urgeon to desirny the circulation of
lie finger gradually that the arteries
# the fsce shall develop sufficiently to I
,ourish the nose on lheirOwn account.
Nhe gradual process is accomplished
~ tying the arteries one by one. r.
With Que Of them this has been done,
nd so the supply Of nour;shment
rom the finger lie cut Off already. The
tner artery is 10 be lied up later on,
next week. When both
igital. arteries are tied there will still
q little circulation from the finger, {
nd tins win be allowed to continue 1
ONE time longer TO assist the vessels
( the face in nourishing the nose.
finally amputa lou will be resorttd to, q
nd then the work will be complete, '
kept In 30 far as surgical aid may be
equired in making Tommy's nose 8
thing of beauty. The amputa-
OD will be made at the second y
articulation or middle joint
( the finger. This bone of the finger <
iii correspond to the bridge of The .
ose, aud the first phalsngael srticula
on, which would otherwise make a 8
lint in the nose, will become stiff and
ard-in word,
he doctors at Bellevue will snchylose
he brave Tommy Coulter brand new
nose.
The reporter after visiting the a
ent, and seeing with his own eyes y
lie living evidences of such remarka :
q surgical skill, endeavored 10 get 81
10 views of the surgecn ms Ia regard to
ie operation. They were extremely I,
ticent, however, but only on the
found that 1t would be uUseemly to
l., ln nN
i so purely professional. The fore
sing facts were obtained from one
BIO was preseat at the operation, and,
r proof OF it's success, there 10 Tom -
US growing nose 10 the first cot 10
10 right upon entering the lower floor
the new b,iek building at Bellevue
ospital.
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