The L'Anse sentinel. (L'Anse, L.S., Mich.) 18??-current, 1892-02-20
SHE CHANGED HER NOSE.
4 SIMPLE AND WONDERFUL
SURGICAL OPERATION.
Not Even Scar Left wh>n the Sur
gcon Had Finishsd His work--it
Transferred "a Roman Noe
Into n Pure Greek.

ton might otherwise simply result In
exchanging deformity for an un-
sightly blemish. 1t Is for this reason
that many deformities OF the face. and
particularly OF the nose, are allowed
u go uncorrected. which are a marque
ds reconnaitre for every one who sees
them. and a constant source OF annoy
aace to the persons themselves.
In describing the technique OF this
operation can not make II more clear
,han by briefly reporting some cases
tlon. writes John j. Rec In the Medi-
Cll Record. Miss c.. aged 20.
consulted me for a winter cough"
which was giving her much concern.
| While she was under treatment she
often referred to her nose. and COM
planned about an angular. bony pro-
joction on its top that not only gave
her nose an unsightly shape. but so
pierced the skin as to make 1t painful
For her to wash or wipe her face. She
was quite DESTROYS OF getting rid OF
This annoying projection. but was
afraid an operation might leave an I'M
| slightly scar. In order to avoid this
possibility / suggested that the pro-
| lection be removed by an incision
| from the inside OF the nostril, without
wounding the skin. and this sugges-
ton ut once induced her to have the
operation performed.
After anaesthetizing the part with
cocaine, both by applying it to the in
terror Of the nostril and by injecting
some under the skin with a hypo-
dermic syringe made lineal in
cision completely through the upper
wall OF the left nostril just In front
OF the nasal bone. between 1t and the
upper lateral cartilage OF the nostril.
to the under side OF the skin. This
incision widened laterally from the
insertion Of the upper border OF the
triangular cartilage half way down
the side OF the nose until | had a
sufficiently large opening to permit
the introduction OF instruments freely.
then raised the skin from the bridge
of the nose over the region where the
operation was to be performed. After
the skin was sufficiently freed from
the top OF the nose / inserted pair
of angular bone scissors and cut on
the projecting piece of bone until the
top OF the nose was perfectly straight
and smooth.
The operation was done with the
strictest antiseptic precautions and
after completion l blew in some iodo-
form powder through the opening
over every portion OF the wounded
surface. The skin was then allowed
to drop back upon the bridge OF the
nose and. by strapping it down with
gentle pressure the wound healed
without the slightest formation OF pus
and there was very little soreness.
There was no mutilation Of the inte-
r,or of the nose, for even directly
after the operation 1t was difficult to
detect, by simply inspecting the inte-
rior OF the nose the incision that had
been made. In a few days the nose
was entirely healed and the soreness
had disappeared when the patient left
for her home. About six weeks after
ward she wrote me that she was nigh
ly delighted with the result. She no
longer had to be constantly on her
|
to come against her nose. and she said
that it felt as II she could heat 1t
against stone wall without hurting It,
| Another case. an exceedingly inter-
esting one was the correction OF q de-
formity, resulting from an injury. the
details OF which are as follows: Mr..
NJ, gentleman residing In a
neighboring city, was one day on
horse back. His horse. being very
spirited suddenly SHE'D at piece OF
paper flying in the street and threw
him violently to the ground, directly
under the horses feet The horse at
the same time struck him with shoe
cork OF one Of his fore-feet directly
in the center OF the top OF his nose,
producing very severe fracture. His
family physician who was an excel
lent surgeon, was at once called. He
found the nose so badly broken up that
portions OF the nasal bones were lying
loose in the gaping wound.
These he picked out and after thor
oughly cleansing the wound, brought
the different portions OF the lacerated
skin together as well as possible. and
carefully applied an antiseptic dress
ing. The following day the doctor
telegraphed me to come and see the
patient / found the nose In as good
shape as circumstances would permit
The vomer was. however. broken and
crowded out OF place The swelling
OF the nose and face was by this time
80 great that 1t was not advisable to
attempt any active interference lest II
, should prevent or disturb the healing
. OF the lacerated skin.
In about Ave days the swelling had
; so much subsidized that the real condi-
ton OF the nose was apparent and
then he came to Rochester for further
treatment The septum was put IN
place and held there by means Of
metallic splints wound with cotton.
. but It soon became apparent that the
support to the bridge OF the nosc was
: so completely undermined the lower
portion OF the nasal bones being de-
stroyed. that the nose was quite sure
i to fall in, unless the proper support
, could be applied at the right spot
from the inside. The plan OF trans
! fixing the nose with pins to hold 1t ur
I'm place could be OF no avail In this
, | A. f~tt -.