one-third of the left ala and a thin flap of the septum which was lying
on the upper lip. The missing member was ferreted out and cleansed, and
after an hour's separation sutured on. The nostrils were daily syringed
with a corrosive sublimate solution, and on the tenth day the dressing
was removed; the nose was found active and well, with the single
exception of a triangular notch on the right side, which was too
greatly bruised by the violence of the blow to recover. When we
consider the varicosity of this organ we can readily believe the
possibility of the foregoing facts, and there is little doubt that more
precaution in suturing severed portions of the nose would render the
operation of nose making a very rare one.
Maxwell mentions a curious case of attempted suicide in which the ball,
passing through the palatine process of the superior maxillary bone,
crushing the vomer to the extent of its own diameter, fell back through
the right nostril into the pharynx, was swallowed, and discharged from
the anus.
Deformities of the nose causing enormous development, or the condition
called "double-nose" by Bartholinus, Borellus, Bidault, and others, are
ordinarily results of a pathologic development of the sebaceous glands.
In some cases tumors develop from the root of the nose, forming what
appears to be a second nose. In other cases monstrous vegetations
divide the nose into many tumors. In the early portion of this century
much was heard about a man who was a daily habitue of the Palais-Royal
Gardens. His nose was divided into unequally sized tumors, covering
nearly his entire face. Similar instances have been observed in recent
years. Hey mentions a case in which the tumor extended to the lower
part of the under lip, which compressed the patient's mouth and
nostrils to such an extent that while sleeping, in order to insure
sufficient respiration, he had to insert a tin-tube into one of his
nostrils. Imbert de Lannes is quoted as operating on a former Mayor of
Angouleme. This gentleman's nose was divided into five lobes by
sarcomatous tumors weighing two pounds, occupying the external surface
of the face, adherent to the buccinator muscles to which they extended,
and covering the chin. In the upright position the tumors sealed the
nostrils and mouth, and the man had to bend his head before and after
respiration. In eating, this unfortunate: person had to lift his tumors
away from his mouth, and during sleep the monstrou
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