Louis T. Byars

The prevention and correction of facial disfigurement

Abstract To recapitulate, all fractures should be reduced and the fragments held in their normal position before solidification commences. For those of the lower jaw and the tooth-bearing part of the upper jaw the reduction should be as early as possible. Compound fractures of the lower jaw should be drained by external incision. With most injuries of the soft tissue it is better practice to let the wound heal spontaneously than to indulge in early debridement, or run the risk of suture scars. Tattooed wounds, whether from road oil or gunpowder, should have the foreign matter removed early; the former by vigorous scrubbing with a stiff brush after anesthetizing the surface, the latter by cutting out each individual grain with a needle-pointed knife. It might be quite difficult to remove all coloring matter from incised wounds such as come from the edge of a stovepipe, but this can be excised and repaired later. In seeking gross foreign bodies in an open wound, the finger will sometimes detect what x-ray and vision will miss.

LI. Observations on Sinus Abnormalities in Congenital Total and Hemi-Absence of the Nose

There is an occasional reference made in the literature to the condition shown in Fig. I. There is a woodcut in W. H. A. Jacobson’s “Operations of Surgery,” and we have recently seen a photograph of this condition in an adult, but we have never encountered any very plausible explanation of its “why” or “how.” Certain individual deviations that were found in all our cases suggest that a similar condition had at some earlier period been present in all congenital half-noses.

Fundamental Techniques of Plastic Surgery and Their Surgical Applications

This book is largely concerned with techniques of soft tissue repair. It is the authors intention to supply guidance to the surgeon who must apply the methods of plastic surgery to the many problems encountered in any surgical practice. He does this by dividing the book into a section of basic techniques followed by a section on the application of these to situations likely to be encountered. The procedures described are those the author prefers. The material is presented in a clear and simple manner and is well organized and adequately illustrated. This book is not intended for the trained plastic surgeon. The surgeon in training or engaged in the practice of any other field of surgery should find much here that can be useful in the management of his everyday problems. In the preface the author states clearly what he is attempting to do. In the text he ably