Thiersch Graft Research Articles

A METHOD FOR THE REPAIR OF A SYPHILITIC NOSE

I have never been able to satisfy myself that the present methods for the repair of a syphilitic nose in which the lining has been destroyed are the best possible. There are two methods in common use: first, the removal of all scar tissue and the relining of the entire nasal cavity with a Thiersch graft, held in place by a mold, which in turn is attached to a denture previously applied; and second, the use of a full-thickness Wolfe graft. Both methods are uncertain, and as yet I have not seen a satisfactory outcome. As I see it, the problem is to line the nose abundantly, so that there will be no subsequent contractures, and to support the nose with rib cartilage at a later date. Whatever lining is used, there must be sufficient room between the two layers (that is, lining and covering) for the insertion of a

END-RESULT IN THIERSCH GRAFT

Since skin grafting, a heritage from antiquity, 1 was placed on a firm scientific basis by Reverdin 2 and later by Thiersch 3 and by Ollier, 4 numerous observations have been made on the phenomena involved in its successful conclusion. Davis and Traut 5 have recently summarized and continued the work begun by Garre, 6 in which the processes of vascularization and innervation of the transplanted tissue have been quite definitely determined. Most of these studies were performed on laboratory animals after varying periods of time, up to two years, had elapsed since grafting. The purpose of this article is not to deal with the physiologic changes involved in transplantation, but to discuss the end-result obtained. This, to be ideal, must closely approach the normal uninjured skin in appearance and function. An opportunity for such a study was presented by a patient who had been operated on thirty years previously

A NEW THIERSCH GRAFT RAZOR

Plastic surgery is exacting in all its requirements; always so as to technic, often so as to instruments. Skin grafting is exacting in both regards. The greatest difficulty one has in cutting Thiersch grafts is in procuring a satisfactory cutting instrument. I have devised a knife that is simple and inexpensive and that serves the purpose well, giving a sharp edge at all times. It can be made in a few minutes, if necessary, from materials procurable anywhere. From the guard of a Durham Duplex safety razor, I removed the teeth from the left side at the line where the teeth join the body of the guard. This straight edge was then beveled, and the outer end was also beveled to facilitate the removal of the grafts from the knife. This completes the instrument. A guard which has a wider surface than the one ordinarily supplied may be provided.

A PLASTIC REPAIR OF FINGER DEFECTS WITHOUT HOSPITALIZATION

In planning a method for covering defects of the palmar surface of the hand or fingers, restoration of function must be kept paramount. Of the three methods in general use, the Thiersch graft is the most popular. As it remains thin and adherent, it is not the method of choice if tendons are exposed. The full thickness (Wolfe or Krause) graft has been used to good advantage by Davis, Kanavel and others, but in the hands of most operators the percentage of takes is low. The flap method has been quite generally employed for a long time, taking the graft from another extremity (either arm or leg), or from the abdomen. The greatest objections to such a method are the discomfort to the patient and the period of hospital care required. The case reported here illustrates a flap method which I have not previously seen and which proved very satisfactory. It does not necessitate hospitalization.

An improved technique in the application of the thiersch graft in the radical operation for chronic middle‐ear suppuration

The LaryngoscopeVolume 25, Issue 11 p. 755-756 Article An improved technique in the application of the thiersch graft in the radical operation for chronic middle-ear suppuration† Dr. Edward Bradford Dench, Dr. Edward Bradford Dench 15 East Fifty-third Street, New YorkSearch for more papers by this author Dr. Edward Bradford Dench, Dr. Edward Bradford Dench 15 East Fifty-third Street, New YorkSearch for more papers by this author First published: November 1915 https://doi.org/10.1288/00005537-191511000-00002 † Read before the Forty-elghth Annual Meeting of the American Otological Society, held at Niagara Falls, Canada, June 3 and 4, 1915. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume25, Issue11November 1915Pages 755-756 RelatedInformation

THE HEARING FOLLOWING THE RADICAL EAR OPERATION

I shall show by a series of statistics why my improved Thiersch graft is superior to all forms of tampon, in producing better hearing and in shortening the time of treatment as well as in being more comfortable for the patient. I shall also demonstrate from my own cases that reoperation is not at all necessary provided the work is thoroughly done. The reason for the improved hearing is easily understood when it is remembered that the graft is applied at the time of the first operation. In about eight or twelve days the graft will be loose and should not be lifted away until it is, because granulations will develop, the granulating surfaces producing a mechanical hindrance which impairs the hearing; while if the graft is lifted off and the underlying surface does not bleed, you can feel assured beyond a question of doubt that the new Table 1

Improved Technique of the Thiersch Graft Following the Radial Mastoid Operation:Preliminary Report

Improved Technique of the Thiersch Graft Following the Radial Mastoid Operation:Preliminary Report

XIX. Preliminary Report of the Improved Technic of the Thiersch Graft following the Radical Mastoid Operation

XIX. Preliminary Report of the Improved Technic of the Thiersch Graft following the Radical Mastoid Operation