Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
Wenzel, after an unsuccessful attempt to overcome a laparocele by the
injection of paraffin, a year later performed a radical operation of the
parts. The excised tissue at the site of the injection showed deposits
of the broken-up mass of paraffin, each being enveloped by a capsule of
connective tissue without any signs of ramifying bands, and hence decided
against the belief of the resultant tissue formation.
Eschweiler, the latest authority on the above question, after examining
microscopically a portion of paraffin-injected tissue that had been
carried “_in situ_” on the bridge of the nose for about one year, concurs
absolutely with the connective-tissue replacement belief.
From the foregoing it may be definitely accepted that while there may be
an encapsulation or encystment of the injected mass, be it what it may so
long as it belongs to the paraffin group, there is always a ramification
of the mass by the formation of the strands of new connective tissue
which eventually in a month or more, according to the amount of the mass,
develops to a size corresponding to the latter or even beyond the size
of the latter, as will be mentioned later, and that in all cases the
paraffin is ultimately and almost, if not completely, crowded out of the
area occupied by the injection, and that its disappearance is accountable
to absorption.
This absorption, following such an injection, is productive of no harm
to the human economy, and the new tissue caused to be formed by such
injection truly enhances the cosmetic and surgical value of the method
inasmuch as an encapsulated mass of paraffin is liable to displacement,
spreading, and irregularities, should it be subjected at any time to
external violence.
Such violence, again, would lead to the irritation and inflammation of
such cyst wall, causing an undue crowding upon the parts injected and
possible gangrene of that part of the wall upon which such pressure was
brought to bear, leading to unsightly attachment and ultimate contraction
of the skin where bound down by the inflammation, or even evacuation by
the absorption of gangrenous material and resultant abscess.
That this absorption or disintegration of paraffin is of no consequence
may be proven by all the early cases in which such injections were used.
Gersuny’s first case, having been done May, 1899, shows no diminution of
the prothetic site at the end of two years. The same may be said of the
hundreds of cases done by other operators.
The greater question in the mind of the author is what will be the
ultimate behavior of this new connective tissue.
Public-domain text, read in full here on John Shaqi.
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