Chapter I: 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—Malformation of the lobule: Enlargement of
the lobule; Attachment of the lobe—Malformation of the auricle:
Microtia—Auricular Appendages—Polyotia—Malposition of the
auricle 120

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