The principles and practice of surgery (1916) (14764167865)

Rodent ulcer (basal cell carcinoma)

Identifier: principlespracti1916warr (find matches)

Title: The principles and practice of surgery

Year: 1916 (1910s)

Authors: Warren, Richard, 1876-

Subjects: Surgery Surgery

Publisher: Philadelphia : Lea & Febiger

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

with gauze. Later, when the cavity is granulating, itshould be lined with Thierschs skin-grafts. SURGERY OF THE FACE The integuments of the face are exceedingly well supplied with bloodand heal very well after injuries or operations. Hence the face is welladapted for plastic operations, as the flaps require but a narrow pedicleto maintain their nutrition and this enables us to adjust such flaps morereadily. 80 good :b the face at reparative efforts that where portions are cut off 372 A TEXTBOOK OF SURGERY by accidents (if cleanly done) it is well worth while to replace them. Thusthe suit pari of a childs nose was cut ofi by vigorous contacl with a paneof glass; the loose portion was rescued from the dustbin, (-leaned, andsutured in place. Some two-thirds maintained its vitality and remainedin situ, leaving only the tip to be replaced. The excellent anastomosis of the facial vessels has, however, this dis-advantage, that it affords a ready means of spread of infection to 1 lie interior

Text Appearing After Image:

Fig. 117. Rodent ulcer (advanced).(Kindly lent by Dr. Gilbert Scott.) of the cranium ; and in this way severe infections, such as carbuncles orcellulitis of the face, may lead to thrombosis of intracranial sinuses ormeningitis. Of chronic inflammations, tuberculosis is commonly met with in theform of lupus, the healed scars of which are likely to become epitheliomatouseven in young persons. Less commonly we find tuberculous abscesses, whichtake origin in the preauricular glands or in the malar-bone and maxilla. Syphilis gives rise to many lesions on the face. Extragenital chancresare not uncommon on the upper lip, less so on the eyelids. The secondai vrash is well marked on the forehead, mucous patches on the lips, and gum-matous ulcers of the nose and forehead are typical. Another important RODENT ULCER. EPITHELIUM OF THE FACE 373 chronic inflammation is dry eczema associated with warts, fonnd on workersin tar and paraffin, which is likely to be the precursor of epithelioma. New Grow

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1916

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