Three cases of plastic nasal surgery : for saddle-shaped nose, removal of entire nose, and arched Roman nose : a paper read before the Philadelphia County Medical Society, February 26, 1896 / by W.W. Keen.

  • Keen, William W. (William Williams), 1837-1932.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Three cases of plastic nasal surgery : for saddle-shaped nose, removal of entire nose, and arched Roman nose : a paper read before the Philadelphia County Medical Society, February 26, 1896 / by W.W. Keen. 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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    soft parts towards the tip of the nose was to prevent the edge of the plate from protrud- ing. The gilded plate was then inserted, and the opening closed by Halsted’s sub- cuticular suture. The suture was removed six days after its insertion. The highest temperature was 99.40. A bleb formed over the bridge of the nose, but soon healed. The result is shown in the photograph (Fig. 3). The gold plate has never caused the slightest inconvenience, and on seizing the nose by the thumb and finger the plate seems to be very firmly fixed in place. Up to the night before the operation, I had believed that my idea was entirely origi- nal, but on that evening Dr. Taylor pointed out to me a paper in the London Lancet for February 17, 1894, by Dr. S. K. Ellison, of Adelaide, South Australia, reporting the in- sertion of a nasal plate which, from the description, I am led to believe was prac- tically identical with my own. His opera- tion was done in 1886, and after seven years the plate was still retained with entire com- fort. In a similar case I should be inclined to make an incision on one side of the nose sufficiently large to allow of insertion of the plate, with a very small incision upon the other side for the purpose of loosening the tissues from the bony and cartilaginous nose. The photograph shows the worse side of my patient’s nose, where the scar is much more evident than upon the other side. Since this operation was done, I have seen the notes of several other somewhat similar cases. In the Medical Reco7’d of April 27,