I think that plastic surgery was one of the biggest suprises that i've come across during the whole course of uni. I have always beleived it to be one of the most refined surgical specialities in which everything has to be sown perfectly together. On top of that, I was almost sure that no course was able to suprise me. I was wrong. Ok every ward and course has it's incredible stories to tell, some being more grotesque then others, and that's the beauty of working with people, but i sat through plastic surgery open eyed in suprise because it suddenly turned out that you have to have a lot of imagination when it comes to finding material for the operations.
For example lets take nose reconstruction. The history of medical intervetions done on the nose runs back to ancient
days, yet what got stuck in my memory were the renaissance days. Back in those times accidents often happened and
many a man had substantial nose losses due to wild animals, cooking accidents, or criminal proceedings, since, already, in those times the chopping of a hand, as a punishment of those who stole, was seen as inhumane, and the more merciful practice of cutting of the nose was followed.
In those days a method, not so different from the general methods used today in plastic surgery was developed. It was done the following way: I recomend that you take a look at the drawing on the webside quoted
For example lets take nose reconstruction. The history of medical intervetions done on the nose runs back to ancient
days, yet what got stuck in my memory were the renaissance days. Back in those times accidents often happened and
many a man had substantial nose losses due to wild animals, cooking accidents, or criminal proceedings, since, already, in those times the chopping of a hand, as a punishment of those who stole, was seen as inhumane, and the more merciful practice of cutting of the nose was followed.
In those days a method, not so different from the general methods used today in plastic surgery was developed. It was done the following way: I recomend that you take a look at the drawing on the webside quoted
"a model of the nose to be reconstructed was made from parchment or leather. This model was then laid on the forearm and a line drawn around it. The marked area was then cut around and separated from the underlying layers in such a way that the bottom of the nose-flap remained attached to the arm. Subsequently the arm was raised to the head with the nose-flap positioned on the face and sutured to the defect. The arm was then bound to the head to hold it in place. After 8-10 days when the skin had healed to the tissue of the defect, the lower part of the skin flap was cut, freeing the arm and allowing reconstruction of the nostrils"
taken from http://www.thefacetrust.org/history.asp
