Lectures on the operations of surgery : and on diseases and accidents requiring operations . t it; but such proceedings ought, by all means, to be discou-raged. There was at one time a great rage for taking out jaws,and so determined was one gentleman to obtain the credit of havingaccomplished this feat that he published a paper purporting to givean account of taking out the whole of the lower jaw, whereas hemerely enlarged and divided some sinuses, and pulled out a deadand loose portion of the bone. There are cases in which it is notadvisable to interfere with the lower jaw even where the tum
Lectures on the operations of surgery : and on diseases and accidents requiring operations . t it; but such proceedings ought, by all means, to be discou-raged. There was at one time a great rage for taking out jaws,and so determined was one gentleman to obtain the credit of havingaccomplished this feat that he published a paper purporting to givean account of taking out the whole of the lower jaw, whereas hemerely enlarged and divided some sinuses, and pulled out a deadand loose portion of the bone. There are cases in which it is notadvisable to interfere with the lower jaw even where the tumours 296 TUMOURS. commence in the bone. You meet with a tumour, which growsrapidly, and speedily throws out a fungus. Here is a tumour ofthat kind. This case was sent to the Edinburgh Hospital, soonafter I became surgeon of the establishment, under the impressionthat I should take it away. The tumour had grown in a fewmonths ; it commenced on the exterior of the jaw, and this horridfungus was thrown out very shortly. The patient perished withina week or two after his admission. Fie. You meet with tumours growing between the plates of the lowerjaw. Sometimes they are composed in part of fluid, of cysts con-taining a glairy fluid; they increase insize, expand the jaw gradually, involve itcompletely, and pass along perhaps thewhole of one side. Here is a bone, theplates of which have been separated inthis way; one-half of the jaw, as you see,has been removed, and from its articula-tion with the temporal bone. The pa-tients countenance is thus greatly de-formed, the motion of the jaws is impeded,and he is very willing to submit to someoperation for relief. The tumour will goon increasing more and more, and it maytake on some malignant action. Here,again, is a specimen of a tumour whichhas not a very benign look. It had beengrowing in the lower jaw for only a fewmonths, and involved, as you see, muchmore than one-half of the bone, from an
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