Large pendulous tumor from the cheek, of many years growth, in a gentleman advanced in years, removed by operation / by E.L. Hussey.

  • Hussey, E. L. (Edward Law)
Date:
[1877]
Catalogue details

Licence: Public Domain Mark

Credit: Large pendulous tumor from the cheek, of many years growth, in a gentleman advanced in years, removed by operation / by E.L. Hussey. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Patient. At this visit, I observed that one of the pro- jecting knobs on the upper surface of the Tumor had grown very much since my last visit, 4 weeks ago. Mr. Prescott Hewott agreed in the opinion already given; and as the Tumor was now growing rapidly, with an evident tendency to ulceration and sloughing, with the liability to constantly recurring hemorrhage, it was thought advisable that the operation should be performed with as little delay as might be. The operation was performed on the 13th of July, with the help of Mr. Forster, and Mr. Mallam of Oxford. Before the operation, these measures were taken ; — round the neck of the Tumor, near the jaw, 11 inches, round the Tumor itself, in the middle, 18 inches, — lengthways, from the upper to the under surface, measuring from the line taken round the neck or root, 16 inches. While the Patient was being brought under chloroform, the lines of incision were marked in ink with a camel- hair pencil. The Tumor was raised, with the view of emptying the superficial vessels by allowing the blood to flow back to the cervical veins. The collar, or pedicle, before division of the skin, was found to be too tough to allow of the Tumor being rotated, or twisted, so as to check the circulation through it. The point of the scalpel, for the first incision, was entered behind the ear, about the middle of the mastoid process. Upon cutting through the integument, one of the superficial veins was divided, and bled freely from the upper end, — that nearest the cheek: this was compressed with the finger, and did not bleed again. The second incision was then made, so as to include between the lines a broad piece of skin, which was adherent by a firm cicatrix to the capsule or sub- stance of the Tumor. The integument was reflected at the upper and back part; and with a little farther dis-