d as remaining in the brain for some time. Wharton has
compiled elaborate statistics on this subject, commenting on 316 cases
in which foreign bodies were lodged in the brain, and furnishing all
the necessary information to persons interested in this subject.
Injuries of the nose, with marked deformity, are in a measure combated
by devices invented for restoring the missing portions of the injured
member. Taliacotius, the distinguished Italian surgeon of the sixteenth
century, devised an operation which now bears his name, and consists in
fashioning a nose from the fleshy tissues of the arm. The arm is
approximated to the head and held in this position by an apparatus or
system of bandages for about ten days, at which time it is supposed
that it can be severed, and further trimming and paring of the nose is
then practiced. A column is subsequently made from the upper lip. In
the olden days there was a timorous legend representing Taliacotius
making noses for his patients from the gluteal regions of other
persons, which statement, needless to say, is not founded on fact.
Various modifications and improvements on the a Talicotian method have
been made; but in recent years the Indian method, introduced by Carpue
into England in 1816, is generally preferred. Syme of Edinburgh, Wood,
and Ollier have devised methods of restoring the nose, which bear their
names.
Ohmann-Dumesnil reports a case of rhinophyma in a man of seventy-two,
an alcoholic, who was originally affected with acne rosacea, on whom he
performed a most successful operation for restoration. The accompanying
illustration shows the original deformity--a growth weighing two
pounds--and also pictures the appearance shortly after the operation.
This case is illustrative of the possibilities of plastic surgery in
the hands of a skilful and ingenious operator.
About 1892 Dr. J. P. Parker then of Kansas City, Mo., restored the
missing bridge of a patient's nose by laying the sunken part open in
two long flaps, denuding the distal extremity of the little finger of
the patient's right hand of nail, flesh, tendons, etc., and binding it
into the wound of the nose until firm union had taken place. The finger
was then amputated at the second joint and the plastic operation
completed, with a result pleasing both to patient and operator.
There is a case quoted of a young man who, when first seen by his
medical attendant, had all the soft parts of the nose gone, except
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