The News-Herald. [volume] (Hillsboro, Highland Co., Ohio) 1886-1973, 1889-12-12
NOSES MADE TO ORDER.
A Novelty In the Progress Of Mod
ern Surgery.
A flap Of Poriosteum from the Forehead
Developed into . Substantial Nose
Bridge Curious Skin Grating
"A Patchwork Face.

"A PATCHWORK Face.
Mrs. Hoffman, who lives at 30 Mauier
street, Brooklyn, had suffered from nasal
catarrh until she had no nose left.
Bones as we'll as tissues we're gone. In
this condition, says the New York Sun,
she applied to DIR. F. L. r. Tetamore to
see whether he could build q nose.
The doctor, after an examination Of
the case, had her placed under the in
fiuence Of On anmsthetic. Then he cut
away the skin that covered the nasal
cavity. Next the flesh on the forehead,
immediately above the nose, was dis
sected back In flaps, 80 as to lay bare
wedge-shaped portion Of the skull there.
Tho bone Is covered with skin, as
nearly every ono knows, and Zap Of
this bone skin (periosteun) of the shape
of o truncated v WAS dissected from the
bone, save only that the point Of tho v
was left attached to the skull between
the eyes. This Zap was twisted 80 that
when It was laid down over the nasal
cavity the side that had been next to
the bone was down.
Meantime o live chicken had been
cut open and piece of its Ireast bono
Of tho right size and shape to form
nose was cut out and stitched fast over
the nasal cavity. This bono formed
bridge which supported the Zap of peri
osteum up in the shape of o nose. The
periosteum was therefore stitched over
this bridge. Then, when that was done,
the skin and tissues from the checks Of
the patient were drawn up over the new
nose and stitched there, forming the
feshy part Of the nose.
OF course every care was taken In tho
use Of antiseptics. Al the end Of ten
days the chicken bone came away.
Meantime the periosteum had devel-
oped into thin shell OF bone perfectly
able to support itself, and n membrane
had grown over what had now become
the nostrils of the new nose. OF course
provision had been made for the growth
of q central cartilage as we'll as an
outer framework. At tho end of
twelve days the outer wounds had
healed, including the wound on tho
forehead, from which the periosteum
had been removed. The interior Of the
nose was longer in healing, but it is now
we'll, and Mrs. Hoffman once more has
nose that she is proud Of.
"When l adopted the chicken bone"
said DR.. Tetamore when asked about the
| case, "I did it because it was of about
| the right form and because wanted to
| see whether 1t would really grow into
the place and serve tho purpose. 1t was
not q new idea, for the flesh of animals
has hitherto been grated into that of
human beings. But was perfectly sure
that the periosteum would develop q
thin plate Of bone, and that was all that
was needed. The chicken bone served
meantime as support"
| DR.. Tetamore has more difficult case
on hand than that OF Mrs. Hoffman. It
is that of woman who has lost her nose
and is 80 terrible deformed that there is
not enough flesh and tissue on the sides
Of the nasal cavity to draw up over 10
when q new nose shall be made for IA.
from the periosteum from tho forehead
In dealing with this case DR.. Tetamores
has discarded the chicken bono entire
ly, and for the support of the nose hss
substituted framework made of thin
Stats Of ivory.
To begin with he made plaster cast OF
the woman's face. Then he took soft
rubber and constructed y nose of the,
proper form to fit that face. This rubber
nose gave the size and shape Of frame,-
work necessary to support tho new nose
and the size Of the flap to be cut FROM
the forehead. Having made the ivory
frame in his Office, he had the woman
placed on the dissecting table and
dissected away the flesh from around
the nasal cavity and laid bare tho
bone all around. Then he fastened tho
ivory frame over the nasal cavity by
tacking the ends Of the ivory Stats fast
to the exposed bone with ivory tree
nails. This done, flap not only of
periosteum from the skull above the
eyes, but its covering OF flesh and skin
were lifted up, twisted around and laid
down over the ivory framework, pro-
vision being made for the middle car
tilage as before. This flap was sewed
down to the flesh Of the face and the lip.
The wide wound on the forehead will
doubtless fill up, as clean-cut wounds al
ways do. The hap over the ivory frame
will grow around over it, and it will al
ways remain there. Such Is the present
aspect.
A case OF skln-graftlng In Williams
burg was interesting because It showed
how in the growth of any part of the hui
man body its natural characteristics are
accurately preserved. The patient had
severe burn on the face, and the
wound would not heal. So bits CT skin
were grated over the wound, and in that
way success attained. But the novel
feature Of the case was that great vari.
ETY. OF human cuticle was used. Skin
from the legs of hairy men, patches o!
skin that had moles on them, and the
skin OF colored people were used, and
they all grew fast-a cur.ocs-l oolsing
patchwork. But very soon after each
patch grew fast it began to change its
character until at tho last the cheek
that had been burned was white and
fair like the other one, no trace Of hair,
or mole, or colored folks remaining.