| Boric acid | 3 | parts |
| Cera alba | 4 | ” |
| Ol. oliva | 20 | ” |
The latter must be changed daily until cicatrization has been established.
If it is more desirable to cover the granulating area by means of skin grafts it may be accomplished readily, as later described. This is usually resorted to when there has been loss of tissue from the result of sloughing, although a sliding-flap operation may overcome the defect to a nicety; this is especially true of wounds about the anterior nasal border.
If the resulting cicatrice is no larger than the gaping wound it may be excised, the skin at either side is undermined and the edges are brought together, as was originally intended.
ERYSIPELATOUS INFECTION
It sometimes happens that a wound takes on erysipelatous infection. It is usually of the simple variety, although the cellulo-cutaneous variety is not rare.
Causes.—The predisposing causes are septic infection, lowered vitality, resulting from alcoholism, poor hygiene, and nephritis. The exciting cause has been accredited to the erysipelo-coccus of Fehleisen, which is found chiefly in the more superficial channels of the corium and appearing in chain groups as seen microscopically.
Symptoms.—The symptoms locally are the peculiar rosy rash, rapidly spreading out from the wound with well-defined margins. The affected part appears smooth and edematous and is slightly raised above the surface, the patient complains of stiffness and burning pain in the part. Often vesicles form on the affected part.
The temperature rises suddenly to 102° to 103° F., there is nausea and vomiting.