Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
Of this he says: “To insure still further the sterilization of the
paraffin, I have devised a tin (nickle-plated) receptacle supported
on an attached tripod, which raises the bottom an inch from any plane
surface on which it is placed, and is closed with a detachable lid. This
arrangement prevents the paraffin from burning or browning. Into this
I pour the paraffin from the test tube, after melting, and place this
receptacle into a sterilizer, or any ordinary boiler—surround it almost
entirely with water and then boil. After I have boiled it for a few
minutes I remove the receptacle and permit it to cool until the paraffin
therein is about 120° F. I then draw it up into the syringe, which has
been sterilized in the same boiler with the paraffin. When sufficient is
withdrawn, I evacuate the air bubbles from the syringe by pressing the
piston upward and run my set screw into place. Some two or three minutes
are now allowed for the paraffin to assume equal consistency throughout
and to cool down to a semisolid state. When the paraffin reaches this
consistency it may be kept many hours ready for use, at the temperature
of the room, if only the precaution to warm the needle is taken each time
before attempting the injection.”
=17. Hypersensitiveness of the Skin.=—A permanent hypersensitiveness of
the skin over the site of a subcutaneous paraffin injection has never
been definitely shown. While it is true there is some pain and feeling
of stress and fullness over and about such area, immediately after the
operation, this has subsided in about twenty-four hours in the average
case, except in those where a very hot liquid paraffin and of large
amount has been injected, when several days are required to overcome
these symptoms.
Smith claims a numbness over the site of the injected area which soon
passes away, but this is perhaps more a feeling of fullness rather than
one of anesthesia.
The author has observed, however, in several cases a period of extreme
discomfort, fullness and cephalalgia in cases of subcutaneous injections
about the root of the nose. Peculiarly these attacks appear only after
the filling has become organized; that is, after the connective tissue
has displaced the paraffin. The secondary tumor in such cases appears
to be slightly larger superiorly than the original size at the time of
injection.
The irregularity of these attacks, with edema of the forehead and slight
puffing of the upper eyelids, points to a disturbance of the circulation
and is undoubtedly due to pressure on the angular vessels, and the
venous arch across the root of the nose. The symptoms usually appear in
the early morning and moderate toward night, reappearing again the next
morning or not again until the next attack, which may be expected at any
time.
Public-domain text, read in full here on John Shaqi.
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