File:The Journal of laryngology and otology (1887) (14591018137).jpg

Identifier: journaloflaryngo06londuoft (find matches)
Title: The Journal of laryngology and otology
Year: 1887 (1880s)
Authors:
Subjects: Ear Nose Throat
Publisher: London (etc.) Headley Brothers (etc.)
Contributing Library: Robarts - University of Toronto
Digitizing Sponsor: University of Toronto

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Text Appearing Before Image:
" were lined withh vulcanite in continuity with the palatal obdurator. This
" nasal portion was made hollow, and serves the purpose, anatomically
" and physiologically, of the antrum cavity, and also acts as a fixing point
" for the artificial face and nose piece. With this the patient has perfect
" comfort and enjoys comfortable deglutition, very distinct articulation,
" and so, notwithstanding its many imperfections, is the sine qua non ot
" his material existence.
" The unsightly appearance presented by the immense loss of the
" structures of the nose and cheek was next to be overcome. This was
" an opportunity of exercising some mechanical turn of mind, combined
" with artistic effect. I took an impression of the parts with plaster of
" Paris, extending it beyond the limits of the lesion, and from that, having
" made a cast, I modelled in wax something like the counterpart of the
" perfect side of the face. This, again, was cast in zinc and a die made,
" on which was stuck a piece of metal, again allowing it to overlap the
Text Appearing After Image:
Rhinology, and Otology. 365

" outline of the original diseased tissue. I used tin, both from economy,
" and owing to the only other available metal, aluminum, being liable to be
" bent by careless handling.
" The manner of fixing this was some trouble, and after trying many
" methods, I had recourse to the old-fashioned one of fixing with the aid
" of spectacles, selecting those with long arms reaching behind the cars.
" They were rivetted to the front of the metal nose in such a position that
" when the whole was in place the tension of the spectacle arms brought
" tension to bear in all directions equally, so that in any position of the
" head the artifice was immovable. Thus it is, and yet can be removed
by the patient, and readjusted at will with the greatest ease. This face
" piece an artist friend painted the tint of the surrounding healthy skin.
" The line of the apparatus, which nearly touches the everted conjunctiva
" of the remains of the lower eyelid, is obscured by having the eye-pieces
" made of coloured glass, and the line which lies on the small piece of lip
" is hidden by an attempt at a false moustache, the hairs of which have
" been taken from the patient's whiskers, and fixed with varnish.

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