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 hope to be an effectual removal of all the disease, by excising the portion of the jaw, as here exhibited. To detach the temporal muscle from the coronoid process, and to disarticulate the jaw on one side, and that, too, without injury to the important nerves and vessels, that we had been so fortunate to avoid wounding in the two previous operations, re- quired much study and reflection. Bather than that there should be a paralysis of all the muscles of one side of the face, I pre- ferred the deformity of a cicatrix, extending from the angle of the mouth downwards and backwards to near the anterior ex- tremity of the old cicatrix; and from thence backward and up- ward as high as we could go without reaching the portio-dura. On elevating this large flap, the greater portion of the tumor could be exposed. The base of the jaw was divided with a chain saw, about an inch and a half in front of the angle. The masseter muscle was detached from the outer face of the angle—the pterygoideus internus from the inner face of the same bone; and the temporal muscle from the coronoid process. This dissection was exceedingly difficult. The upper part of it was executed with a curved knife, and with a probed pointed bistoury; and with such complete success, that no artery was wounded, from which the flow of blood could not be arrested by compression. Large quantities of lint were packed into the cavity made by the removal of a large diseased mass, and the external wound was closed by sutures and adhesive straps. The operation, though severe and somewhat protracted, was borne with great fortitude. No untoward symptom followed the operation, and the patient recovered rapidly, and again returned to Canada at the end of six or seven weeks, in good health, and with more freedom of motion in the remaining portion of the jaw than before the operation. In comparing this case with that of Professor Symes, whose brief history I have given, it will be observed that there is great similarity in the development, in the performance of the three operations, and in the character of the morbid specimens.