Surgical cases and observations / [Richard Carmichael].

  • Carmichael, Richard, 1779-1849
Date:
1818
Catalogue details

Licence: Public Domain Mark

Credit: Surgical cases and observations / [Richard Carmichael]. Source: Wellcome Collection.

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    the meatus auditorius, and parts about the ear ; and also from the mastoid process behind, and from the angle of the jaw before, to which parts it firmly adhered. , I now made use of the handle of the scalpel and my fingers, to separate it from the deep-seated parts lying between the temporal bone, and ascend¬ ing process of the lower jaw, where it was imbed¬ ded to a depth far beyond our expectation. This part of the operation was necessarily tedious, as considerable difficulty was experienced in detach¬ ing the tumour from its connexion with the sur- * rounding parts. A firm band or root, connected with the deepest part of the tumour, having a large artery distinct¬ ly beating upon its surface, was found to resist all my efforts to disengage it; and it became abso¬ lutely necessary to have recourse to the knife. But previous to its division, I requested Mr. Todd to be prepared’to compress the carotid trunk, in case of the occurrence of haemorrhage. The band was then divided with a buttoned bistoury close to the tumour, with the view of avoiding the artery ; in this, however, I was disappointed. Instantly an alarming gush of blood, which evidently came from a large vessel, followed the division ; and the danger appeared the more imminent, as the pres*