Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
The author advises the injection of white sterile vaselin or sperm oil
for this form of correction. It should be carefully injected, since the
vessels lie close to the skin with the anterior auricular crossing
transversely about the center of the furrow.
Every precaution should be taken, one injection only being made from
below upward at each sitting if more than one is necessary, and then only
after the needle has been unscrewed from the syringe to make sure vessel
bleeding does not follow the puncture.
The reaction is usually severe, with considerable edema and ecchymosis.
The resultant tissue formation likewise is active, and hyperplasia at
this site is not uncommon, especially if the mixture or hard paraffin has
been employed.
A cellulitis following such an injection is exceedingly troublesome, the
injected mass being thrown off usually at the base of the furrow, which
is followed by a low type of inflammation with a protracted oozing of
serous exudate. Should such a case come under the care of the surgeon,
thorough cleansing of the affected site under scrupulous antisepsis
should be done at once, and wet antiseptic dressings be applied daily
until the wound is entirely healed.
A plastic skin operation must be done in most of these cases to overcome
the ragged cicatrix formed upon healing of the wound. This should never
be undertaken until the wound has been healed for several weeks at least.
After the injection of the parts cold antiseptic dressings should be
applied at once, and kept up until every sign of reactive inflammation
has subsided. At no time should the subsequent injection be undertaken
before a month has elapsed from the time of the former operation.
=Post-auricular Deficiency.=—This defect is invariably unilateral, and
then the result of a mastoid operation.
The skin about the depressed site will be found to be more or less firmly
adherent, necessitating subcutaneous dissection before an injection for
correction can be undertaken.
In this case the cold mixture of vaselin and paraffin is indicated,
since the softer products will hardly suffice to elevate the tense skin.
If the former surgical operation has been done some time previous to
the required injection the parts may at one or two sittings be restored
to a fairly normal contour, depending entirely upon the amount of
ungiving scar tissue at the site. If the parts are tender and not reduced
to normal, the injections should be made frequently, about ten days
apart, injecting a small mass across and through the subcutaneous scar
attachment at each sitting.
The reactions following such injections help to tease the scar away
from the bony tissue, but should not be sufficient to cause extensive
inflammation.
The same mode of post-operative treatment as has been given with
pro-auricular corrections should be followed.
SPECIFIC TECHNIQUE FOR THE CORRECTION OF DEFORMITIES ABOUT THE SHOULDERS
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account