History of Plastic
surgery
Plastic surgery was being carried out in
Bharat by 2000 BCE.[1] Sushruta (6th century BCE) made
important contributions to the field of Plastic and Cataract
surgery.[2] The medical works of both Sushruta and Charak were
translated into Arabic language during the Abbasid Caliphate
(750 CE).[3] These Arabic works made their way into Europe via
intermediaries.[4] In Italy the Branca family of Sicily and
Gaspare Tagliacozzi (Bologna) became familiar with the
techniques of Sushruta.[4]
British physicians traveled to India to see
Rhinoplasty being performed by native methods.[5] Reports on
Indian Rhinoplasty were published in the Gentleman's Magazine
by 1794.[5] Joseph Constantine Carpue spent 20 years in India
studying local plastic surgery methods.[5] Carpue was able to
perform the first major surgery in the Western world by
1815.[6] Instruments described in the Sushruta Samhita were
further modified in the Western world.[6]
The Romans were able to perform simple
techniques such as repairing damaged ears from around the 1st
century BC. Due to religious reasons they didn't approve of the
dissection of both human beings and animals, thus their
knowledge was based in its entirety on the texts of their Greek
predecessors. Notwithstanding this Aulus Cornelius Celsus has
left some surprisingly accurate anatomical descriptions, some
of which —for instance, his studies on the genitalia and the
skeleton— are of special interest to plastic surgery.[7]
In 1465, Sabuncuoglu's book, description,
and classification of hypospadias was more informative and up
to date. Localization of urethral meatus was described in
detail. Sabuncuoglu also detailed the description and
classification of ambiguous genitalia (Kitabul Cerrahiye-i
Ilhaniye -Cerrahname-Tip Tarihi Enstitüsü, Istanbul)[citation
needed] In mid-15th century Europe, Heinrich von Pfolspeundt
described a process "to make a new nose for one who lacks it
entirely, and the dogs have devoured it" by removing skin from
the back of the arm and suturing it in place. However, because
of the dangers associated with surgery in any form, especially
that involving the head or face, it was not until the 19th and
20th centuries that such surgery became commonplace.
Up until the techniques of anesthesia became
established, all surgery on healthy tissues involved great
pain. Infection from surgery was reduced once sterile technique
and disinfectants were introduced. The invention and use of
antibiotics beginning with sulfa drugs and penicillin was
another step in making elective surgery possible.
In 1792, Chopart performed operative
procedure on a lip using a flap from the neck. In 1814, Joseph
Carpue successfully performed operative procedure on a British
military officer who had lost his nose to the toxic effects of
mercury treatments. In 1818, German surgeon Carl Ferdinand von
Graefe published his major work entitled Rhinoplastik. Von
Graefe modified the Italian method using a free skin graft from
the arm instead of the original delayed pedicle flap. In 1845,
Johann Friedrich Dieffenbach wrote a comprehensive text on
rhinoplasty, entitled Operative Chirurgie, and introduced the
concept of reoperation to improve the cosmetic appearance of
the reconstructed nose. In 1891, American otorhinolaryngologist
John Roe presented an example of his work, a young woman on
whom he reduced a dorsal nasal hump for cosmetic indications.
In 1892, Robert Weir experimented unsuccessfully with
xenografts (duck sternum) in the reconstruction of sunken
noses. In 1896, James Israel, a urological surgeon from
Germany, and In 1889 George Monks of the United States each
described the successful use of heterogeneous free-bone
grafting to reconstruct saddle nose defects. In 1898, Jacques
Joseph, the German orthopaedic-trained surgeon, published his
first account of reduction rhinoplasty. In 1928, Jacques Joseph
published Nasenplastik und Sonstige Gesichtsplastik.
The U.S.'s first plastic surgeon was Dr.
John Peter Mettauer. In 1827, he performed the first cleft
palate operation with instruments that he designed himself. The
New Zealander Sir Harold Gillies, an otolaryngologist,
developed many of the techniques of modern plastic surgery in
caring for those who suffered facial injuries in World War I.
His work was expanded upon during World War II by one of his
former students and cousin, Archibald McIndoe, who pioneered
treatments for RAF aircrew suffering from severe burns.
McIndoe's radical, experimental treatments, lead to the
formation of the Guinea Pig Club. Plastic surgery as a
specialty evolved tremendously during the 20th century in the
United States. One of the founders of the specialty, Dr. Vilray
Blair, was the first chief of the Division of Plastic and
Reconstructive Surgery at Washington University in St. Louis,
Missouri. In one of his many areas of clinical expertise, Blair
treated World War I soldiers with complex maxillofacial
injuries, and his paper on "Reconstructive Surgery of the Face"
set the standard for craniofacial reconstruction. He was also
one of the first surgeons without a dental background to be
elected to the American Association of Oral and Plastic Surgery
(later the organizations split to be renamed the American
Association of Plastic Surgeons and the American Association of
Oral and Maxillofacial Surgeons) and taught many surgeons who
became leaders in the field of plastic surgery
|