CHAPTER XVIII. Case Recording Methods

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.

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 method 175

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

282.—Prothesis applied to face 207

SUBCUTANEOUS HYDROCARBON PROTHESES

283.—Circulation of the head (author) Facing 210

284.—Eckstein insulated syringe 232

285.—Quinlan paraffin heater 232

286.—Author’s electrothermic paraffin heater 244

287.—Smith paraffin heater 246

288 a, 288 b.—Microphotograph, showing fibromatosis Facing 258

289.—Author’s drop syringe 265

290.—Author’s all-metal syringe 266

291.—Smith’s all-metal syringe 267

292, 293.—Anterior superior third nasal deficiency and correction thereof 289

294, 295.—Anterior median third nasal deficiency and correction thereof 292

296, 297.—Anterior inferior third nasal deficiency and correction thereof 294

298 a, 298 b.—Anterior superior and inferior third nasal deficiency and correction thereof 301

299, 300.—Anterior total nasal deficiency and corrections thereof 303

301.—Untoward effect of paraffin injection about lobule and anterior nasal line 311

302, 303.—Profile view, showing correction of antero-lateral deficiency about chin 330

304, 305.—Frontal view, showing correction of antero-lateral deficiency about chin; also correction of deficiency of cheeks 332

RHINOPLASTY

306.—Deficiency of superior and middle third of nose 342

307.—Post-ulcerative deformity of superior third of nose 342

308.—Loss of right ala, lobule and columna 342

309.—Loss of lobule, inferior septum and columna 342

310.—Ulcerative loss of right median lateral skin of nose 343

311.—Loss of nasal bones, partial dorsum, lobule and septum 343

312.—Destruction of nasal bones with dorsum and lobule intact 343

313.—Total loss of nose 343

314, 315, 316.—Koomas method of rhinoplasty 353

317.—Graefe method of rhinoplasty 353

318, 319, 320, 321.—Delpech method of rhinoplasty 354

322, 323.—Lisfranc method of rhinoplasty 355

324.—Labat method of rhinoplasty 356

325.—Keegan method of rhinoplasty 356

326.—Duberwitsky method of rhinoplasty 357

327.—Dieffenbach method of rhinoplasty 357

328.—Von Ammon method of rhinoplasty 358

329.—Auvert method of rhinoplasty 358

330.—Von Langenbeck method of rhinoplasty 359

331, 332.—Petrali method of rhinoplasty 360

333.—Forque method of rhinoplasty 361

334.—D’Alguie method of rhinoplasty 361

335.—Landreau method of rhinoplasty 361

336.—Von Langenbeck method of rhinoplasty 361

337.—Von Langenbeck method of rhinoplasty 362

338.—Szymanowski method of rhinoplasty 362

339.—Nélaton method of rhinoplasty 365

340.—Heuter method of rhinoplasty 365

341.—Bürow method of rhinoplasty 365

342.—Szymanowski method of rhinoplasty 366

343, 344.—Serre method of rhinoplasty 367

345, 346.—Maisonneuve method of rhinoplasty 369

347, 348, 349.—Dieffenbach arm-flap method 373

350.—Szymanowski arm-flap method 375

351.—Fabrizi arm-flap method 376

352, 353.—Steinthal thoracic flap method 377

354, 355.—Volkman method of rhinoplasty 379

356.—Keegan method of rhinoplasty 380

357, 358.—Verneuil method of rhinoplasty 380

359, 360.—Thiersch method of rhinoplasty 381

361, 362.—Helferich method of rhinoplasty 382

363, 364.—Sedillot method of rhinoplasty 383

365.—Berger arm-flap method 385

366.—Berger retention apparatus 385

367, 368.—Szymanowski rhinoplasty method 386

369.—König rhinoplasty method 391

370.—Von Hacker rhinoplasty method, arrangement of frontal flap to allow chiseling 392

371.—Von Hacker rhinoplasty method, making osteo-periostic support 392

372.—Von Hacker rhinoplasty method, bone-lined flap in position 392

373, 374.—Rotter rhinoplastic method 394

375, 376.—Schimmelbusch frontal flap method 395

377, 378.—Helferich rhinoplasty method 397

379, 380, 381.—Krause rhinoplasty method 399

382.—Nélaton rhinoplasty method 400

383.—Nélaton rhinoplasty method, making bony support 400

384.—Nélaton rhinoplasty method, cutting through bony plate 401

385.—Nélaton rhinoplasty method, disposition of frontal flap 401

386.—Israel method, forearm flap 402

387.—Israel method, position of forearm to place flap 403

388.—Nélaton method, outlining frontal flap 407

389.—Nélaton method, locating cartilage strip 408

390.—Nélaton method, excision of cartilage strip 409

391.—Nélaton method, placing of cartilage strip 410

392.—Nélaton method, bringing down frontal flap 411

393.—Nélaton method, placing frontal flap 411

394, 395.—Steinhausen partial rhinoplasty method 412

396, 397.—Neumann partial rhinoplasty method 413

398, 399, 400.—Later Neumann partial rhinoplasty method 415

401.—Bardenheuer method, shape of flap 416

402.—Bardenheuer method, disposition of flap 416

403.—Ollier method first step 417

404.—Ollier method, second step 418

405.—Ollier method, position nasal bone occupies 418

406.—Von Langenbeck method, first step 419

407.—Von Langenbeck method, showing separation and elevation of nose flaps 419

408.—Nélaton method, first step 421

409.—Nélaton method, making lower nasal flap 421

410.—Nélaton method, forming base of nose 422

411.—Nélaton method, ultimate disposition of flap 422

412.—Bayer-Payr restoration of lobule, first step 425

413.—Bayer-Payr restoration of lobule, disposition of flaps 425

414.—Bayer-Payr restoration of lobule, placing of pedicles after division 425

415.—Ch. Nélaton method, attachment of forearm flap 426

416.—Ch. Nélaton method, forearm flap in position, lateral flaps 426

417.—Ch. Nélaton method, disposition lateral flaps 426

418.—Denonvillier method, making of flap for ala 428

419.—Denonvillier method, disposition of flap for anterior pedicle ala 428

420.—Denonvillier method, making of flap for ala, posterior pedicle 428

421.—Denonvillier method, disposition of flap for ala, posterior pedicle 428

422, 423.—Mutter method of restoration of ala 429

424, 425.—Von Langenbeck method of restoration of ala 430

426.—Busch method of restoration of ala 430

427.—Dieffenbach method of restoration of ala 431

428.—Dupuytren method of restoration of ala 431

429.—Fritz-Reich method of restoration of ala 431

430, 431, 432, 433.—Sedillot method of restoration of ala 432

434, 435.—Nélaton method of restoration of ala 433

436, 437.—Bonnet method of restoration of ala 434

438, 439.—Weber method of restoration of ala 434

440.—Thompson mucosa flap 435

441, 442.—Thompson method of restoration of ala 435

443, 444.—Blandin method of restoration of ala 436

445, 446.—Von Hacker method of restoration of ala 436

447, 448.—Kolle method of restoration of ala 437

449.—Denonvillier method of restoration of ala 438

450, 451, 452.—Von Hacker method of restoration of ala 439

453.—König method of restoration of ala 440

454, 455.—Kolle method of restoration of ala 441

456, 457.—Kolle method of restoration of lobule 442

458, 459.—Blandin method of restoration of subseptum 444

460, 461.—Dupuytren method of restoration of subseptum 445

462.—Serre method of restoration of subseptum 445

463, 464.—Dieffenbach method of restoration of subseptum 446

465.—Heuter method of restoration of subseptum 446

466.—Szymanowski method of restoration of subseptum 446

467, 468.—Szymanowski method of restoration of subseptum 447

COSMETIC RHINOPLASTY

469 a, 469 b.—Monk method of correction of angular nose 450

470, 471, 472.—Median nasal incision for angular nose 451

473, 474.—Kolle method of lateral incision for angular nose 452

475, 476.—Kolle chisel set 453

477.—Kolle metal mallet 453

478, 479.—Kolle method of correction of retroussé nose 454

480, 481.—Kolle method of correction of broad lobule 456

482, 483.—Kolle method of correction of elongated lobule 458

484.—Kolle method of correction of elongated lobule and base of nose after excision 460

485.—Kolle method of correction of elongated lobule base of alæ and lobule 460

486, 487.—Kolle plaster cast of lobule operation 461

488, 489.—Kolle plaster cast of lobule operation 462

490, 491.—Kolle plaster cast of lobule operation 463

492, 493.—Kolle plaster cast of lobule operation 464

494, 495.—Gensoul method of correcting broad nasal base 465

496, 497.—Kolle method of correction of broad nasal base 465

498, 499.—Linhardt method of reduction of thickened alæ 466

500, 501.—Dieffenbach method of reduction of thickened nose 467

ELECTROLYSIS IN DERMATOLOGY

502.—Electric wet cell 470

503.—Series connection of cells 472

504.—Shunt rheostat connection 473

505.—Cell selector 474

506.—Cell selector and battery connection 474

507.—Milliampèremeter 475

508.—Direct current wall plate 475

509.—Wall-plate connections 475

510 a.—Portable wet cell apparatus 476

510 b.—Portable dry cell apparatus 477

511.—Sponge electrode 478

512.—Arm electrode 478

513, 514.—Electrolytic needle holders 479

515.—Interrupting current needle holder 479

516.—Needle holder with magnifying glass 479

517.—Epilating forceps 481

518.—Electrolysis method for destroying growths 483

519.—Multiple needle electrode 484

520.—Kolle electric apparatus for tattooing scars 487

CASE RECORDING METHODS

521.—Nose stencil 492

522.—Method of making nose plaster cast 494

PLASTIC AND COSMETIC SURGERY