Indian nasal plasty

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The Indian Rhinoplasty is an ancient plastic surgical technique to restore the nose .

The origin of the operation lies in pre-Christian India , where some crimes were punished by cutting off the nose, ears and lips. At around 400 BC The Indian method first described in BC, a swivel flap is formed from the forehead to replace the nose . Around the middle of the 15th century, the method spread from Sicily , where it was further developed by the Branca family of surgeons, to Calabria , only to be forgotten again at the end of the 16th century.

Around the same time, Gasparo Tagliacozzi in Bologna described a different surgical method : The characteristic of this Italian or Tagliacozzi method is the formation of the replacement flap from the skin of the arm.

Rhinoplasty.

Tagliacozzi's operation was described as impracticable by most doctors of his time and was later forgotten. The Indian method, on the other hand, was further developed and successfully applied by Joseph Constantine Carpue in England at the beginning of the 19th century . On October 23, 1814, he performed his first plastic surgery at St George's Hospital in London . In Germany, Karl Ferdinand von Graefe operated according to the Italian and later also according to the Indian method.

The success of the Indian method is based on the fact that the flap of skin, which is swiveled from the forehead to the midface, initially remains connected to the donor area for several weeks via a broad tissue stem. Only when newly growing blood vessels from the recipient tissue have taken over the nourishment of the skin is the tissue stem separated from the forehead.

literature

  • Karl von Graefe : Rhinoplasty or the art of organically replacing the loss of the nose; explored in their earlier relationships and promoted to higher perfection through new procedures . Realschule bookshop, Berlin 1818.
  • Johann Friedrich Dieffenbach : Surgical experience, especially about the restoration of destroyed parts of the human body using the latest methods . Enslin Verlag, Berlin 1829/34 (4 volumes).
  • August Lange: The rhinoplasty in the 'Göttingen pocket calendar for the year 1805'. A note on the history of nasal reconstruction. In: Würzburg medical history reports. Volume 9, 1991, pp. 345-350.

Individual evidence

  1. ↑ Ann Davey, Colin S. Ince (Ed.): Fundamentals of Operating Department Practice. Greenwich Medical Media, London 2000, ISBN 0-521-68286-X , page 3. Restricted preview in Google Book Search (English)