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The Project Gutenberg eBook of Plastic and
cosmetic surgery
This ebook is for the use of anyone anywhere in the United States
and most other parts of the world at no cost and with almost no
restrictions whatsoever. You may copy it, give it away or re-use it
under the terms of the Project Gutenberg License included with this
ebook or online at www.gutenberg.org. If you are not located in the
United States, you will have to check the laws of the country where
you are located before using this eBook.

Title: Plastic and cosmetic surgery

Author: Frederick Strange Kolle

Release date: April 23, 2024 [eBook #73452]

Language: English

Original publication: New York: D. Appleton and Company, 1911

Credits: deaurider and the Online Distributed Proofreading Team at


https://www.pgdp.net (This file was produced from images
generously made available by The Internet Archive)

*** START OF THE PROJECT GUTENBERG EBOOK PLASTIC


AND COSMETIC SURGERY ***
PLASTIC AND
COSMETIC SURGERY

“Father of Plastic Surgery.”


PLASTIC AND
COSMETIC SURGERY

BY
FREDERICK STRANGE KOLLE, M.D.
FELLOW OF NEW YORK ACADEMY OF MEDICINE; MEMBER OF DEUTSCHE
MEDEZINISCHE
GESELLSCHAFT, N. Y., KINGS COUNTY HOSPITAL ALUMNI SOCIETY,
AUTHORS’ COMMITTEE AMERICAN HEALTH LEAGUE, PHYSICIANS’
LEGISLATURE LEAGUE ETC.; AUTHOR OF “THE X-RAYS:
THEIR PRODUCTION AND APPLICATION,” “MEDICO-SURGICAL
RADIOGRAPHY,” “SUBCUTANEOUS
HYDROCARBON PROTHESES,” ETC.

WITH ONE COLORED PLATE AND FIVE HUNDRED AND


TWENTY-TWO ILLUSTRATIONS IN TEXT

NEW YORK AND LONDON


D. APPLETON AND COMPANY
1911
Copyright, 1911, by
D. APPLETON AND COMPANY

PRINTED AT THE APPLETON PRESS,


NEW YORK, U. S. A.
to

ALPHONZO BENJAMIN BOWERS

who kindled the fire of my ambition


and kept it burning by
his interest and untiring appreciation
this work is
with heartfelt gratitude
inscribed
PREFACE
The object of the author has been to place before the profession a
thoroughly practical and concise treatise on plastic and cosmetic
surgery. The importance of this branch of practice is at the present
time undeniable, yet the literature on this subject is widely scattered
and scanty. It consists mostly of small, detached papers or reports in
different countries, with an occasional reference in text-books on
general surgery.
The author feels, from the numerous inquiries made him by
physicians from many parts of the world concerning methods herein
described, that there is now an actual need for an authoritative work
on this subject.
Great care has been taken to select the best matter and to present
it with comprehensive illustrations every physician can readily and
confidently refer to.
Skin-grafting has been particularly gone into, as well as
electrolysis as applied to dermatology, with information as to the
construction and scientific use of apparatus involved.
To the whole has been added the practical experience and
criticism of the author, who has devoted many years to the scientific
and faithful advancement of this specialty.
Frederick Strange Kolle.
12 East Thirty-first Street,
New York City.
CONTENTS
PAGE

CHAPTER I
HISTORICAL
Historical 1
CHAPTER II
REQUIREMENTS FOR OPERATING
The operating room: The walls; The floors; Skylight;
Disinfection; Instrument cabinet; Operating table;
Instrument table; Irrigator—Care of instruments—
Preparation of the surgeon and assistants: Care of the
hands; Gowns—Preparing the patient: General
preparation; Preparation of the operative field 9
CHAPTER III
REQUIREMENTS DURING OPERATION
Sponges and sponging—Sterilization of dressings: Wallace
sterilizer; Sprague sterilizer; Sterilizing plant; Dressing
cases; Waste cans—Sutures and sterilization: Silkworm
gut and silk; Catgut 22
CHAPTER IV
PREFERRED ANTISEPTICS
Antiseptic solutions—Antiseptic powders 34
CHAPTER V
WOUND DRESSINGS
Sutured wounds—Sutureless coaptation—Granulation—
Changing dressings—Wounds of the mucous membrane
—Pedunculated flaps—Foreign bodies 43
CHAPTER VI
SECONDARY ANTISEPSIS
Septicemia following wound infection—Gangrene—
Erysipelatous infection 52
CHAPTER VII
ANESTHETICS
General anesthesia: Preparation for general anesthesia;
Chloroform; Ether; Combined anesthesia; Nitrous oxid;
Ethyl bromid; Ethyl chlorid—Local anesthesia: Ethyl
chlorid; Cocain; Beta eucain; Liquid air; Stovain 58
CHAPTER VIII
PRINCIPLES OF PLASTIC SURGERY
Incisions—Sutures—Needles—Needle holders—Methods in
plastic operations: Stretching method; Sliding method;
Twisting method; Implantation of pedunculated flaps by
bridging; Transplantation of nonpedunculated flaps or
skin-grafting; Autodermic skin-grafting; Heterodermic
skin-grafting; Zoödermic skin-grafting—Mucous-
membrane-grafting—Bone-grafting—Hair-transplantation 76
CHAPTER IX
BLEPHAROPLASTY
Ectropion: Partial ectropion; Complete ectropion; Ectropion of
both lids—Epicanthus—Canthoplasty—Ptosis—
Ankyloblepharon—Wrinkled eyelids—Xanthelasma
palpebrarum 103
CHAPTER X
OTOPLASTY
Restoration of the auricle—Auricular protheses—Coloboma— 120
Malformation of the lobule: Enlargement of the lobule;
Attachment of the lobe—Malformation of the auricle:
Microtia—Auricular Appendages—Polyotia—Malposition
of the auricle
CHAPTER XI
CHEILOPLASTY
Harelip: Classification of harelip deformities; The operative
correction of harelip; Of unilateral labial cleft; Of
congenital bilateral labial cleft; Post-operative treatment
of harelip—Superior cheiloplasty: Classification of
deformities of the upper lip; Operative correction of
deformities of the upper lip—Inferior cheiloplasty—Labial
deficiency—Labial ectropion—Labial entropion—
Vermilion deficiency 145
CHAPTER XII
STOMATOPLASTY
The correction of macrostoma—The correction of microstoma 192
CHAPTER XIII
MELOPLASTY
Small and medium defects—Large defects—Employment of
protheses 198
CHAPTER XIV
SUBCUTANEOUS HYDROCARBON PROTHESES
Indications—Precautions—The advantage of the method— 209
Untoward results: Intoxication; Reaction; Infection;
Necrosis; Sloughing; Sloughing due to pressure;
Subinjection; Hyperinjection; Air embolism; Paraffin
embolism; Primary diffusion or extension of paraffin;
Interference with muscular action of the wings of the
nose; Escape of paraffin after withdrawal of needle;
Solidification of paraffin in needle; Absorption or
disintegration of the paraffin; The difficulty of procuring
paraffin with proper melting point; Hypersensitiveness of
skin; Redness of the skin; Secondary diffusion of the
injected mass; Hyperplasia of the connective tissue
following the organization of injected matter; Yellow
appearance and thickening of the skin after organization
of the injected mass has taken place; The breaking down
of tissue and resultant abscess due to the pressure of
the injected mass upon the adjacent tissue after the
injection has become organized—The proper
instruments for the subcutaneous injection of
hydrocarbon protheses—Preparation of the site of
operation—Preparation of the instruments for operation
—The practical technique—Specific classification for the
employment and indication of hydrocarbon protheses
about the face—Specific classification for the
employment and indication of hydrocarbon protheses
about the shoulders, etc.—Specific technique for the
correction of regional deformities about the face:
Transverse depressions; Deficient or receding forehead;
Unilateral deficiency; Interciliary furrow; Temporal
muscular deficiency; Deformities of the nose; Deformities
about the mouth; Deformities about the cheeks;
Deformities about the orbit; Deformities about the chin;
Deformities about the ear—Specific technique for the
correction of deformities about the shoulders
CHAPTER XV
RHINOPLASTY
The causes of nasal destruction—Classification of deformities
—Surgical technique—Protheses—Nasal replanting—
Nasal transplanting—Total rhinoplasty: Pedunculated
flap method; The Indian or Hindu method; The French
method; The Italian method; The combined flap method;
Organic support of nasal flaps; Periostitic supports;
Osteoperiostitic supports; Cartilaginous support of flap—
Partial rhinoplasty; Restoration of base of nose;
Restoration of lobule and alæ; Restoration of the alæ;
Restoration of nasal lobule; Restoration of subseptum 339
CHAPTER XVI
COSMETIC RHINOPLASTY
Angular nasal deformity—Correction of elevated lobule—
Correction of bulbous lobule—Angular excision to correct
lobule—Correction of malformations about nasal lobule
—Deficiency of nasal lobule—Correction of widened
base of nose—Reduction of thickness of alæ—
Correction of nasal deviation—Undue prominence of
nasal process of the superior maxillary 448
CHAPTER XVII
ELECTROLYSIS IN DERMATOLOGY
The electric battery—The voltage or electromotive force—
Cell selector—Milliampèremeter—The electric current—
Portable batteries—Electrodes—Removal of superfluous
hair—Removal of moles or other facial growths—
Telangiectasis—Removal of nævi—Removal of tattoo
marks—The treatment of scars 470
CHAPTER XVIII
CASE RECORDING METHODS
Photographs—Stencil record—The rubber stamp—The
plaster cast—Preparation of photographs 491
LIST OF ILLUSTRATIONS
Transcriber’s Note: Some illustrations have been moved to where they fit best with
the surrounding text. Links lead to the illustration, not to the page number.

FIG. PAGE
A. Cornelius Celsus (“Father of Plastic Surgery”). Frontispiece
Historical
1.—Celsus incision for restoration of defect 2
2.—Celsus incision to relieve tension 2
Requirements for Operating
3.—Formaldehyd disinfecting apparatus 11
4.—Instrument cabinet 12
5.—Operating table 13
6.—Instrument table 14
7.—Irrigator 15
8.—Instrument sterilizer 16
9.—Aseptic washstand 17
10.—Von Bergman operating gown 19
11.—Triffe rubber apron 19
Requirements during Operation
12.—Basins and rack 23
13.—Willy Meyer sterilizer 25
14.—Wallace sterilizer 25
15.—Sprague type of sterilizer 26
16.—Sterilizing plant 28
17.—Dressing case 29
18.—Combination dressing case and table 29
19.—Waste pail 30
20.—Clark Kumol apparatus 32
Wound Dressing
21, 22.—Plaster sutures 46
23, 24.—Angular plaster sutures 46
Secondary Antisepsis
25.—Walcher dressing forceps 55
26.—Toothed seizing forceps 55
Anesthetics
27.—Schimmelbusch dropping bottle 60
28.—Esmarch dropping bottle 60
29.—Schimmelbusch folding mask 61
30.—Esmarch inhaler 61
31.—Allis inhaler 65
32.—Fowler inhaler 65
33.—Juillard mask 66
34.—Simplex syringe 72
35.—Kolle improved Pravaz syringe 72
36.—“Sub-Q” syringe 72
Principles of Plastic Surgery
37.—⅝ circle Haagedorn needles 77
38.—Crescent curve Haagedorn needles 77
39.—Kersten-Mathieu needle holder 78
40.—Haagedorn needle holder 78
41.—Pozzi-Haagedorn needle holder 78
42.—Weber-Haagedorn needle holder 78
43.—Needleholder with suture carrier 78
44.—Celsus skin incisions 80
44 a.—Celsus relieving incisions 80
45.—Rhomboid excision 80
46.—Union of rhomboid excision 80
47.—Oblong excision 81
48.—Coaptation of wound 81
49.—Bitriangular excision 81
50.—Linear coaptation 81
51.—Triangular excision 81
52.—Coaptation of wound 81
53.—Triangular excision with relieving incisions 82
54.—Coaptation of wound 82
55.—Square excision 82
56.—Coaptation of wound 82
57.—Square excision 82
58.—Coaptation of flaps 82
59.—Triangular excision 83
60.—Coaptation of flap 83
61.—Triangular excision 83
62.—Coaptation of flaps 83
63.—Triangular excision 83
64.—Arrangement of flaps 83
65.—Double triangular excision 84
66.—Coaptation of wound 84
67.—Tri-triangular excision 84
68.—Coaptation of wound 84
69.—Rectangular-bitriangular excision 84
70.—Coaptation of wound 84
71.—Weber excision method 85
72.—Coaptation of flaps 85
73.—Elliptical excision 85
74.—Coaptation of flaps 85
75.—Triangular excision 86
76.—Coaptation of flaps 86
77.—Triangular excision 86
78.—Coaptation of flaps 86
79.—Lentenner method of excision 86
80.—Coaptation of flap 86
81.—Burns method of excision 87
82.—Coaptation of flaps 87
83.—Tagliacozza harness 87
84.—Smith skin-grafting scissors 89
85.—Thiersch skin-grafting razor 93
86.—Thiersch folding razor 93
87.—Method of cutting Thiersch graft 94
88.—Method of placing Thiersch graft 95
Blepharoplasty
89.—Correction of ectropion, Dieffenbach method 104
90 a and b.—Correction of partial ectropion (author’s
case) 104
91, 92.—Complete ectropion, Dieffenbach method 106
93, 94.—Complete ectropion, Wolfe method 107
95, 96.—Complete ectropion, Fricke method 108
97, 98.—Complete ectropion, Ammon-Von
Langenbeck method 109
99, 100.—Complete ectropion, Dieffenbach-Serre
method 110
101, 102, 103.—Complete ectropion, Tripier method 111
104, 105.—Complete ectropion, Von Artha method 112
106, 107.—Epicanthus, Bull method 113
108.—Probe-pointer angular scissors 114
109, 110, 111.—External canthoplasty 115
112, 113.—Blepharoplastics, author’s method 116
114.—Curved eye scissors 117
Otoplasty
115.—Partial restoration of the auricle 124
116.—Correction of lobular defect 126
117.—Coaptation of wound 126
118, 119.—Greene method correcting coloboma 126
120.—Noyes’s clamp 127
121, 122.—Correction of attached lobe 128
123.—Restoration of auricle, Szymanowski method 129
124.—Auricular stump for attachment of artificial ear 130
125.—Auricular prothesis 130
126.—Auricular prothesis applied to stump 131
127.—Anterior view of auricular prothesis 131
128.—Posterior view of auricular prothesis 131
129, 130, 131.—Schwartze method of correction of
macrotia 134
132, 133.—Parkhill method of correction of macrotia 135
134, 135.—Author’s method of correction of macrotia 137
136, 137.—Author’s method of correction of macrotia 137
138.—Monks’ method of correction of malposed ear 139
139, 140.—Author’s method of correction of malposed
ear 140
141, 142.—Correction of malposed auricles, author’s
case (anterior view) 142
143, 144.—Posterior view of replaced auricles 143
Cheiloplasty
145.—Burchardt compression forceps 145
146.—Beinl harelip clamp 145
147.—Median cleft, Siegel’s case 147
148.—Median cleft with rhinophyma, Trendelenburg’s
case 147
149, 150, 151.—Types of unilateral labial cleft 148
152.—Unilateral facial cleft, Hasselmann 149
153.—Bilateral facial cleft, Guersant 149
154.—Buccal fissure with macrostoma 150
155, 156, 157.—Harelip correction, Nélaton method 152
158, 159.—Harelip correction, Fillebrown method 153
160, 161, 162.—Harelip correction, Von Langenbeck-
Wolff-Sedillot method 153
163, 164, 165.—Harelip correction, Malgaigne method 154
166, 167.—Harelip correction, Gräfe method 154
168, 169, 170.—Harelip correction, Mirault method 155
171, 172, 173.—Harelip correction, Giralde method 155
174, 175, 176.—Harelip correction, König method 156
177, 178, 179.—Harelip correction, Maas method 156
180, 181, 182.—Harelip correction, Haagedorn
method 157
183, 184, 185.—Harelip correction, Dieffenbach
method 157
186, 187.—Correction bilateral cleft, Von Esmarch
method 159
188, 189, 190.—Correction bilateral cleft, Maas
method 159
191, 192, 193.—Correction bilateral cleft, Haagedorn
method 160
194, 195, 196.—Correction bilateral cleft, Simon
method 160
197.—Hainsley cheek compressor 161
198, 199.—Superior cheiloplasty, Bruns method 164
200, 201.—Superior cheiloplasty, Sedillot method 165
202.—Superior cheiloplasty, Buck method 165
203, 204, 205.—Superior cheiloplasty, Estlander
method 166
206, 207.—Inferior cheiloplasty, Richerand method 169
208, 209.—Extirpation of vermilion border 169
210, 211.—Inferior cheiloplasty, Celsus method with
additional incisions 170
212, 213.—Inferior cheiloplasty, Estlander method 171
214, 215.—Inferior cheiloplasty, Bruns method 172
216, 217.—Inferior cheiloplasty, Buck method 172
218, 219.—Inferior cheiloplasty, Dieffenbach method 173
220, 221.—Inferior cheiloplasty, Jäsche method 174
222, 223.—Inferior cheiloplasty, Trendelenburg
method 174
224, 225.—Inferior cheiloplasty, Bruns method 175
226, 227.—Inferior cheiloplasty, Bruns bilateral 175
method
228, 229, 230.—Inferior cheiloplasty, Buchanan
method 176
231, 232.—Inferior cheiloplasty, Syme method 177
233, 234.—Inferior cheiloplasty, Blasius method 178
235, 236.—Inferior cheiloplasty, Bürow method 178
237, 238.—Inferior cheiloplasty, von Langenbeck 179
239, 240.—Inferior cheiloplasty, Morgan method 180
241, 242.—Inferior cheiloplasty, Zeis method 181
243, 244.—Inferior cheiloplasty, Delpech method 182
245, 246.—Inferior cheiloplasty, Teale method 185
247, 248.—Labial ectropion, author’s method 187
249, 250.—Labial ectropion, author’s method 188
Stomatoplasty
251, 252.—Correction of Macrostoma, Dieffenbach-
Von Langenbeck method 193
253, 254.—Correction of Macrostoma, author’s
method 195
255, 256.—Correction of Microstoma, Dieffenbach
method 196
257.—Artificial mouth, Heuter 196
Meloplasty
258, 259.—Meloplasty, Serre method 199
260, 261.—Correction of angle of mouth 200
262, 263.—Correction of extensive angle of mouth 200
264, 265.—Meloplasty, Kraske method 201
266, 267, 268.—Meloplasty, Israel method 202
269, 270.—Meloplasty, Bardenheuer 202
271, 272, 273, 274.—Meloplasty, Bardenheuer 203
275, 276, 277, 278.—Meloplasty, Bardenheuer 204
279, 280.—Meloplasty, Staffel 205
281.—Cheek prothesis after removal of sarcoma,
Martin 206

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