tag:blogger.com,1999:blog-4912713243046142041.post8595560693905494681..comments2024-03-28T23:22:41.774-05:00Comments on TYWKIWDBI ("Tai-Wiki-Widbee"): Early rhinoplastyMinnesotastanhttp://www.blogger.com/profile/01382888179579245181noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-4912713243046142041.post-74616928046809807042012-02-12T13:59:43.281-06:002012-02-12T13:59:43.281-06:00Some historians think that the Byzantine Emperor J...Some historians think that the Byzantine Emperor Justinian II Rhinotmetus had such an operation to restore his lost nose before reclaiming the throne in 705, it having been cut off when he was deposed in 695.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4912713243046142041.post-56421125699200716632012-02-12T08:48:38.181-06:002012-02-12T08:48:38.181-06:00Thank you so much, Marge, for taking the time to t...Thank you so much, Marge, for taking the time to transcribe those paragraphs; I've added them to the post.<br /><br />:.)Minnesotastanhttps://www.blogger.com/profile/01382888179579245181noreply@blogger.comtag:blogger.com,1999:blog-4912713243046142041.post-4160535633495872782012-02-12T08:47:47.275-06:002012-02-12T08:47:47.275-06:00Thank you, Dr. C. I've added your link to the...Thank you, Dr. C. I've added your link to the post.Minnesotastanhttps://www.blogger.com/profile/01382888179579245181noreply@blogger.comtag:blogger.com,1999:blog-4912713243046142041.post-47956725134218460762012-02-12T07:02:23.054-06:002012-02-12T07:02:23.054-06:00I see your nineteenth century and raise you the fo...I see your nineteenth century and raise you the fourth century for accomplished plastic surgery. Unfortunately there is very little freely available online about this. A good article on a Byzantine text including plastic surgery is subscription only, but I'll quote a little from their translation of the original:<br /><br />"We must first create a square defect around the original defect. We then extend the superior side of the square, the one over the forehead, towards the nose and towards the ear in a distance much greater than the side of the square. In the same manner, we extend the opposite side, the one over the brow, thus, finally we create an H design centered around the original defect. <br />After creating the H, we undermine the skin towards the edges of our initial lines (creating a medial and lateral flap), advance the two flaps, to join together in the area of the square defect and suture them (without tension), in order to maintain their blood supply. During the undermining, we should not just undermine the skin because it will necrose if it is too thin, but we should include some flesh (subcutaneous tissue) with the skin. We can use the same technique for defects on the forehead, cheeks or dorsum of the nose. If the defect is down to bone, we can use the same technique but before bringing the flaps together, we should abrade the exposed bone (debride) in order to avoid failure of the flaps."<br />http://journals.lww.com/plasreconsurg/Abstract/1998/09040/Plastic_Surgery_of_the_Face_in_Byzantium_in_the.61.aspx<br /><br />As Doc Q mentioned this surgery was also common in India.Margenoreply@blogger.comtag:blogger.com,1999:blog-4912713243046142041.post-32287616227648219542012-02-11T19:15:54.702-06:002012-02-11T19:15:54.702-06:00Found a source: http://www.ostdeutsche-biographie....Found a source: http://www.ostdeutsche-biographie.de/diefjo92.htm. It was even earlier! Dieffenbach died in Berlin in 1847. In the 1820ies he started first transplantations and met Heinrich Heine.Doc Qnoreply@blogger.comtag:blogger.com,1999:blog-4912713243046142041.post-14742661785066198482012-02-11T19:08:41.486-06:002012-02-11T19:08:41.486-06:00This rhinoplasty is not really amazing. In the 184...This rhinoplasty is not really amazing. In the 1840/50ies, I think, there was a german surgeon Dieffenbach, who was known for this surgery. He used another technique, took skin from the front. And even he had predecessors, in India. (I hope that this is about what I read in a book on history of medicine years ago...).Doc Qnoreply@blogger.comtag:blogger.com,1999:blog-4912713243046142041.post-90002223386874885582012-02-11T11:36:06.592-06:002012-02-11T11:36:06.592-06:00See: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1...See: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1405931/<br /><br />Similar techniques are still used in reconstructive surgery today.Dr. Cnoreply@blogger.com