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
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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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    the imperfect lip and the cheeks. The parts implicated in the incision are then freely loosed from their attachments to the superior maxillary bone by the knife being passed upwards between the bone and the remnant of lip. The parts being thus detached, the two lateral angular flaps are drawn across the median line, dovetailing with each other and thereby increasing the depth of the lip at the expense of its breadth. In this, position the flaps are retained by one pin and twisted suture.” Mr. Spencer Watson has applied this operation for the relief of deformity resulting from a burn on the neck and face.^ Syme’s operation is suitable in some cases. It is chiefly useful in restoring the lower lip, but it might be applied in other cases. He thus describes it: “ Two incisions were made from the angle of the mouth, so as to meet at the chin and remove the whole of the morbid part in a triangular form. The lines A, B and B, c (Fig. 15), being supposed to represent these incisions, I cut from the point B outwards and downwards on each side to T> and e in a straight direction, and then, with a slight curve outwards and upwards, to E and G. The flaps A, B, D, F, and c, B, E, G, were next detached from their subjacent connections and raised upwards, so that the edges A, B, and c, B, came into a horizontal line, while those represented by B, T>, and B, E, met together in a vertical direction, and the lateral ^ Pig. 15. A C extensions to T and G allowed sufficient freedom to prevent any puckering or overstraining.”^ And, lastly, I may refer to a method adopted by Mr. Curling ’ ‘ Proc. Med. Soc. of Lond.,’ vol. i, p. 104. * Miller’s ‘ Practice of Surgery,’ 185G, p. 1G3.