Idaho County free press. [volume] (Grangeville, Idaho Territory) 1886-current, 1892-02-19
SHE CHANGED HER NOSE.
SIMPLE AND WONDERFUL
SURGICAL OPERATION.
MOI Even Scar Left When the Sur
geon Had Finished His work-It
Transferred Il Roman Noie
Into Pure Greek.

In all surgical operations about the
face it is as necessary to avoid mutila-
ton OF the skin as to correct deformi-
ty. since in many instances an opera.
ton might otherwise simply result in
exchanging a deformity for an I'M
slightly blenish. 1t is for this reason
that many detormities of the face. an
particularly OF the nose, are allowed
to go uncorrected which are narque
de reconnaitre for every one who sees
them. and constant source of annoy
ance to the persons themselves.
In describing the technique of this
operation | can not make il more clear
than by briefly reporting some cases
In which | have performed the opera
ton. writes John j. Rec in the Medi-
cal Record. Miss c., aged 25.
consulted me for o 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-
!oc'lon on Its top that not only gave
her nose an unsightly shape, but SO
pierced the skin as TO make it painful
Tor 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 l suggested that the pro-
lection be removed by an incision
from tho inside of the nostril, without
woun1ing the skin, and this sugges.
ton at 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 q hypo-
de: mic syringe, | made lineal in
clslon completely through the upper
wall OF the left nostril. just in front
of the nasal bone between it and the
upper lateral cartilage OF the nostril,
to the under side of the skin. This
lncision | widened laterally from the
insertion OF the upper border of the
triangular cartilage half way down
the side OF the nose, until I had
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 l inserted a pair
OF angular bone scissors and cut on
the ri rejecting piece of bone until the
top of the nose was perfe fly straight
and smooth.
The operation was done with the
strictest antiseptic precautions and
alter 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.
+ OF OF the nose. for even directly
after the operation it vas difficult to
detect, by simply inspecting the inte-
rlor OF the nose. the incision that had
been made. In few days the nose
was entirely healed and the soreness
had disappeared when the patient loft
for her home. About six weeks after.
ward she wrote me that she was high
ly delighted with tbs result. She no
longer had to be con 5tantly on her
guard lest she should allow something
to come against her nose. and she said
that it felt as II she could neat Il
against stone wall without hurting it.
Another case. an exceedingly inter-
esting one was the correction of de-
formity, resulting from an injury, the
details OF watch 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 throw
him violently to the ground, dire .tly
under the horses feet. The horse at
the Same time struck him with q 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 living
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 wei as possible and
carefully applied an antiseptic dress
ing. The following day the doctor
telesraphed 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 ont OF place. The swelling
OF the nose and face was BY this time
SO great that it was not advisable TO
attempt any active interference leet IL
should prevent or disturb the healing
OF the lacerated skin.
In about five days the swelling had
so much subsidized that the real condi-
tion OF the nose was apparent, and
then he came to Rochester for further
tlsesi ament Tho aan,,,,, $40.