Richmond times-dispatch. [volume] (Richmond, Va.) 1914-current, 1916-08-06

the Hindoo method, because 1t was invented In
very ancient times by the Hindoos Is an opera.
ton in which the flap Is made from the fore
head. The French method Is one in which the
flap is made from the tissues about the border
OF the deformity. The Italian method IS one In
which the flap is taken from some distant mem
Der or part Of the body. These original meth
DDS are subdivided into many other methods
bearing the names Of the surgeons who intro
duced them and in some cases combining feat.
ures Of the different methods
Where the replacing of the nose with natural
tissue is not desired for some reason, or the
patient is unwilling to undergo the operation.
the surgeon may resort to the use OF artificial
noses. Such noses are made of porcelain. wood.
rubber. silver and aluminium, painted to initiate
the color of the skin of the patient. They are
made after model previously prepared by
molding organ upon the face of the
patient.
There is also the problem Of replacing the
bony structure of the nose when this has been
destroyed. for it is not sufficient to bring down
nap or soft tissue from the forehead when
this sub-structtve Is entirely missing This OBJ.
ject may be obtained by bringing down q portion
OF the bony structure with the flesh from the
iorehead and grating 1t on to the remnants
or the nose bone. In other cases It Is more
advisable to take piece of bone from some
distant part of the body, such as a rib from
which il can he spared.
BY combining the best features Of all these
methods and practising upon a number of ma.
tients much larger than have ever been brought
together before, the French surgeons are able To
carry the science Of face building to far
higher point OF development than 1t has yet
reached. -
Where the Disagreement Of the face is due
mainly 10 the destruction OF bone and a suff-
cient quantity Of healthy tissue and skin re.
mains, very fine results obtained by in
)ectng parafhn wax some similar substance
under the skin. and thus filing out the con-
tour OF the nose or other part of the face 10
us natural form. The Russian surgeon. DR..
Gersuny. was the inventor of this method of
face building. He says IF petroleum. which
at the temperature of the body has the con.
slstency of ointment, be lqufed by heat and
by means of a Pravaz syringe injected into
diiatable tissue of the human body, there is
produced at the site where the injection is
made tumefaction. whose volume CORE
spends to the quantity of petroleum. injected
The reaction which results from the procedure
is insignificant and the mass appears to rest
without change where injected"
destruction of the check is condition which
nnhts man for ordinary social life. and is
very dfhcult to remedy. The extent to which
this can be remedied depends on the size of
The injury. In one ingenious operation just
performed to replace a missing cheek the sur
geon has successfully utilized large flap
from the mucous membrane of the palate and
covered 1t externally with flap of skin taken
from the lower jaw. This was performed by
DR.. Dubreuilh wounded soldier at Bor.
deaux.
In this specially of facial restoration Amerl-
can dentists have rendered most valuable SER
vices The importance of the dentists work
IN treating the soldier has been recognized in
recent address by the President of the Brit
iSh Dental Association