Encysted osseous tumors, or a thin secreting membranous cyst : developed in cancellous structure of bone and surrounded by a thin bony wall / by Alden March.

  • March, Alden, 1795-1869.
Date:
1856
Catalogue details

Licence: Public Domain Mark

Credit: Encysted osseous tumors, or a thin secreting membranous cyst : developed in cancellous structure of bone and surrounded by a thin bony wall / by Alden March. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    I endeavored to remove. After cutting away a considerable portion of the outer wall, the semilunar flap was brought into proper apposition and secured by two or three sutures, and to the cavity in the jaw was applied, from time to time, tiucture of iodine and sulphate of copper, lint, &c. Cicatrization appeared complete in the course of five or six weeks, when the young lady returned to Canada in the enjoyment of perfect health. For nearly five years there was no appearance of a redevelop- ment of the disease. During that period the patient had been married, and had given birth to a perfect and healty child. In the fall of 1849, a swelling was observed to occupy the angle and upright portion of the jaw. I think it was in Decem- ber, 1849, or in January, 1850, that I was consulted by letter in relation to the safety and propriety of again removing the tu- mour, in her delicate condition at that time, that of being four months advanced in pregnancy. Having advised an operation, she again visited our city and placed herself under my care, in February, 1850. At this time I had the counsel and advice of my colleagues, Drs. Armsby and Hun. We had no difficulty in diagnosticating the true nature of the disease. My former ex- perience in the same patient, together with the crackling or yielding sensation communicated to the fingers when pressure was made upon the tumour; and by exploration made with a grooved needle, indicated with the utmost certainty its true character. The swelling seemed to occupy all of the angle and ramus up to the point where it terminates in the condyle and coronoid process; and, therefore, was so covered up by the parotid gland and its duct, the facial branches of the portio- dura and the branches of the carotid artery, that it would appear to be very difficult to remove the entire diseased structure, without wounding some of these important parts. The chief question for consideration was, whether the jaw should be sawed through the healthy part of its base, and the diseased portion removed at the articulation, or that something of the same kind of an operation as before employed should again be attempted. In consideration of the peculiar situation