The San Francisco call., 1909-11-21

skun and all three meninges were glued together.
broke up the adhesions between the dura the one
hand, and the archnoid and pia the other, and
stitched the flap of the dura lightly in place Then
closed the wound in the scalp In two weeks the pa
tent discharged from the hospital. Up to the
present time the result of the operation has been
patient returned to the employ OF the same company
for which he worked before his DOWNFALL He handles
large of money, has been promoted twice, each
time with increased pay.
There is convincing example of the surgery
The name and address of this patient are in my pos
tional verihcatlon of his restored trustworth1ness
Making Over the Nose
Advances of surgery with the knife and by the
bloodless method with which the lay public first be-
came familiar largely through the work OF Lorenz
of Austria virtually equal. This is we'll illus
tated in the matter of nasal operations one OF which
has been cited
Reforming of badly shaped or injured noses is a
common operation among dermatologists and skin
specialists but the rebuilding in its entirety of the
nose is uncommon one.
While Meyer of Philadelphia under ether for
90 minutes in the Samaritan hospital DR.. Wayne
Babcock laid back from either side of the face the
skin covering the spot where the old nose had
and pulled down the small remaining portion of the
nasal bone to form bridge for the new one. Two
incisons made in the skin OF the forehead just
above where the should be- there being in
tervening space of about three-quarters of inch
between the cuts which extended almost to the edge
of the hair Prior to making the ncisions the outer
surface of the forehead strip was denuded so that
when pulled down the artihcially formed bridge
what had been the outer surface of the forehead pre-
sented surface that would quickly adhere and grow
the bridge formation.
Of Meyers first nose all that remained was the
septum, bit of cartilage just above the upper lip
most fiat. To this small cartilage the skin that
stripped down from the forehead stitched and
the skin facial. flaps at either side of the nasal
sages drawn together and sewed down the
center. The next difficult task the formation
of nostrils, that Meyer might breathe it
intended man should Short rubber pipes were in
serfed late n q
the cavity from which the air reaches the bronchial
tubes. Three weeks after the first operation Meyer
underwent second to build up the nose, which
until that time had Grecian tilt. When discharged
he had been relieved of all Disagreement, though the
new nose is possibly just bit smaller than the
original.
because of the position it occupies amid the features
ar eheed and as
fnesse; if hooked it is the sign of herosm; if cleft
it proclaims benevolence if arched, 1t indicates
tyrannical nature; if straight, it bespeaks dignity
and modesty. A with deformed nose suffers
severe business and social handicaps. But there is
no longer need for such distressing situations.
One of the worlds greatest specialists correcting
nasal alterations is Dr. Jaques Joseph of Berlin,
of whose greatest successes have Before
he began his 1abors there existed the rhinoplastic
method which was often Intellectual and unsatisfac-
tory Rhinoplasty practiced to restore vanished
or destroyed DR. Joseph works to correct i'm
projections of existing that are i'll shapen
Scarcely does the Berlin surgeon pierce the skin
of the nose. He operates under the skin by way of
the nasal cavity. His work is brought to bear upon
the bony framework of the and consists in
altering the form of that framework sometimes re-
ducng it or adding to it, sometimes improving its
proportions. He removes bone and cartilage adds
bone and cartilage taken from another part of the
nose. To alter the proportion he cuts and forces
scar tissue to form in a position AS as
the bony framework is remodeled the skin adheres
anew and itself takes the outlines of the remodeled
support.
Leaves No Scar
There was patient, for instance, whose nose was
too broad at its foundations, and spread generously
over his face. Dr. Joseph introduced bistoury into
the nostrils, cut through the lining of the nose and
then with little separated the bony base of the
nose from the maxilary. slight pressure brought
the face in toward the median line pince-nez held
it in place In short time it had reunited itself
the maxillary in good position. The patients ap
pearance much improved.
For a. man who had humpbacked nose the bis
toury again introduced into the nostr the lining
of the nose perforated close to the triangular
ated from it entirely When the operation had been
achieved the hump was removed. By means of
saw it detached from the bony framework
Then because the quadrangular cartilage still formed
a hump, it smoothed down to replace the
convex line of the framework with straight line
The debris of the operation removed through the
nosri and nature did the rest The skin grows fast
to the remodeled framework and the result is that
after few days there is straight instead of
skin, there is Rhnoplasty usually resulted
in scar if not the fawess result obtained was al
most accidental
DR.. johnson has shortened long and has re-
duced prodigously overbulley organs He has re-
move bit of stiff shaped bone from the leg of