The first lines of the practice of surgery: designed as an introduction for students, and a concise book of reference for practitioners (Volume 2).

  • Cooper, Samuel, 1780-1848.
Date:
1828
Catalogue details

Licence: Public Domain Mark

Credit: The first lines of the practice of surgery: designed as an introduction for students, and a concise book of reference for practitioners (Volume 2). 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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    brought together with sutures and sticking-plaster. The bleeding was inconsiderable, no large vessels having been injured. Dr. Cusack has removed large portions of the lower jaw in no less than four instances, the amputation having been performed in two of them at the joint itself. In doing this, he says, the preliminary steps were, in every respect, similar to those of the operation above described. After dividing the anterior portion of the bone, however, he found the volume of the tumor such an impediment to the further proceedings, that he was obliged to make a second section above the angle. In one example, the ramus was divided, and the processes removed separately. In a se- cond case, they were removed together. The condyle was removed by opening the front of the capsular ligament, forcing the condyle out, and making the requisite inci- sions for its separation with a blunt-pointed bistoury. Dr. Cusack has recently heard from the first patient, whom he operated upon in June 1824; she enjoys good health, but cannot chew solid food. In another case, where the chin was preserved, the patient enjoys full power of mastica- tion. From the foregoing accounts, the surgeon may learn the various ways of effecting the removal of considerable portions, or, if necessary, even of the whole lower jaw- bone. The choice of a method must depend upon the cir- cumstances of the case. The most simple is that adopted by Dnpuytren, which seems well adapted for examples, in which only the central portion of the bone is diseased. When the disease extends far towards each ramus, the second plan, suggested by Dupuytren, would be eligible. When the disease is chiefly on one side of the face, but the tumor very large, and it is necessary either to saw the ramus high up, or to take the condyle out of its socket, the other methods, of which a description is given above, are entitled to consideration. CHAPTER XXV. WOUNDS OF THE THROAT AND NECK. In these cases, it is useful to recollect, first that the arch, of the aorta lies in the upper part of the chest in front of the trachea, and that where the carotid arteries