Modern surgery, general and operative . perfect cure is obtained. Insome few the pain returns upon the side operated upon. Occasionally itarises on the side not operated upon. |* In some cases ulceration of the corneafoUow^s operation. Such ulceration may be trivial, may result in opacity, ormay destroy the eye. Paralysis of the abducens occurs in some cases. Thehemorrhage may be so profuse as to require packing of the woimd and suspen-sion of the operation for a few days. The bleeding may come from the menin-geal artery, from the sinus, or from the veins of Santorini. Lexer (Arch. Chi
Modern surgery, general and operative . perfect cure is obtained. Insome few the pain returns upon the side operated upon. Occasionally itarises on the side not operated upon. |* In some cases ulceration of the corneafoUow^s operation. Such ulceration may be trivial, may result in opacity, ormay destroy the eye. Paralysis of the abducens occurs in some cases. Thehemorrhage may be so profuse as to require packing of the woimd and suspen-sion of the operation for a few days. The bleeding may come from the menin-geal artery, from the sinus, or from the veins of Santorini. Lexer (Arch. Chir., Bd. Lxv, H. 4) gives a table of 201 cases. Of the survivors, cent, were apparently cured. In two-thirds of the cases the trouble wasright sided. In 10 the operation was temporarily abandoned because ofhemorrhage. The experience of surgeons in general is that after the removal ofthe ganghon there is apt to be some atrophy of the tongue and the eye usuallybecomes insensitive and watery. The masseter muscle will be ?a, The zygomatic arch, turneddown after sawing; b, tendon of the temporalmuscle retracted; c, superior maxUlary nerveand Meckels ganglion; d, infra-orbital nerveemerging from canal; e, internal maxillaryartery. 766 Diseases and Injuries of Nerves The Hartley Operation for Removal of the Gasserian GangUon.—Thisoperation was first performed by Hartley in 1891, five months before Krauseperformed it. An electric forehead-light is required. Long strips of gauzemust be ready for packing in case of hemorrhage. The patient is placedrecumbent, with head turned to the opposite side. The application of aprovisional ligature or clamp to the external carotid artery is advocated bysome, but this step will not control the venous bleeding, which is the mostharassing hemorrhage encountered. Many operators form a large osteoplasticflap in front of the ear (Fig. 499) and break it out. I do not beheve thatan osteoplastic flap is necessary. The temporal fascia is
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