. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. ont of the tongue, thecentre of the jaw, and all the sublingual structures with thegalvanic ^craseur (University College Museum, 1023). Thepatient made a rapid recovery, the two portions of jaw fell EPITHELIOMA OF LOWER JAW. 375 together, and are now united at an angle by tough fibroustissue, and the man, who was alive and well in 1883, hascovered the deformity by growing a beard. In January, 1879,1 performed nearly as extensive an opera-tion on a man, aged sixty-eight, removing
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. ont of the tongue, thecentre of the jaw, and all the sublingual structures with thegalvanic ^craseur (University College Museum, 1023). Thepatient made a rapid recovery, the two portions of jaw fell EPITHELIOMA OF LOWER JAW. 375 together, and are now united at an angle by tough fibroustissue, and the man, who was alive and well in 1883, hascovered the deformity by growing a beard. In January, 1879,1 performed nearly as extensive an opera-tion on a man, aged sixty-eight, removing the lower jaw fromthe right incisors to the left angle, for extensive epitheliomaof the jaw and floor of the mouthy the patient making agood recovery and being in perfect health two years later,but dying with recurrence of the disease eventually {Lancet,November 20, 1880). In the cases of recurrent epithelioma of the lip, whenthe disease shows itself in the submental glands, whichbecome adherent to and implicate the bone, it is possible togive relief, for a time at least, by sawing out the portion of Fig. bone involved, as I did in an old man in May, two instances I have sawn off the chin only, withoutbreaking the line of the alveolus, or opening the cavity ofthe mouth. Tig. 175 shows the first patient ou whom I per- 376 MALIGNANT TUMOURS OF LOWER JAW. formed the operation, and tlie details of the case will befound in the Appendix (Case XVI.). Sarcomatous growths in the submaxillary lymphaticglands tend, after a time, to implicate the lower jaw, of whichit may be necessary to remove a portion with the specimen (2254) in the Museum of the College ofSurgeons is the left half of a jaw-bone, the body of whichhas been, to a great degree, destroyed by the growth of afirm substance, which appears to have been developed onthe exterior of the bone, and to have gradually producedulceration and necrosis of it. At the angle of the jaw,adjacent to the growth, the bone
Size: 1391px × 1796px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublisherphila, bookyear1884
