Notes on the treatment of burns and scalds and the deformities they occasion : with two cases of plastic operation under the care of the author / by Francis Mason.

  • Mason, Francis, 1837-1886.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Notes on the treatment of burns and scalds and the deformities they occasion : with two cases of plastic operation under the care of the author / by Francis Mason. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    course, important to keep the wound open as long as possible, for, as Dupuytren has said, ‘^the desideratum is to obtain a cicatrix whose extent should be equal to that of the destroyed skin, or even somewhat greater on account of the contractile property of the new texture/^ Moreover, after cicatrization has been completed, the part should be kept well extended for at least twelve months with a suitable instrument. This is most especially necessary in the region of the neck, and the use of such an apparatus as this (Pig. 1), originally devised by Fig. 1.* Fig. 2. Mr. James, of Exeter, in 1818, is usually followed by excellent ] results. A more modern one, however, having four screws to raise and depress the upper collar, and a head-piece such as this (Fig. 2), is still more advantageous. Professor Quain designed and first used such an instrument at University College Hos- pital.^ Mr. George Pollock has suggested an ingenious contrivance ' to retard cicatrization in a burn sustained by a patient whose 1 This woodcut is taken from Mr. James’s paper, On the Removal of Cicatrices from the Neck consequent on Burns,” which appeared in the ‘ Med.-Chir. Soc. Trans.,’ vol. xiii, 1827; and a somewhat similar appliance is described, with a sketch, in ‘ Cases and Remarks in Surgery,’ by Benf. Gooch, 1758, p. 26. A, A. An arch, slightly curved, to adapt it to the form of the parts resting on the sternum and clavicle, and carried back far into the neck. B, B. Two uprights, with hinge at c, c, situated nearly under the angles of the jaws. B, D. Another arch, which is applied beneath the base of the jaw. K, E. A steel frame, which supports the upper arch, with a screw (f) passing through it, by means of which the upper arch may be elevated at pleasure. = ‘Association Med. Journal,’ July 12, 1856, p. 583.