Oral surgery; a text-book on general surgery and medicine as applied to dentistry . or maxilla may be de-stroyed by the disease. The accompanying illustration is that of a child agedfive years, who had typhoid fever beginning June 8. OnJune 22, when fever had about run its course, the attend-ing physician noticed a swelling of the left cheek. OnJune 24 the skin over the cheek became glossy. On June26 the physician decided that an abscess had formed andmade an incision through the mucous membrane over themaxilla of the superior sulcus of the mouth, and, to hisgreat surprise, the knife passed di
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . or maxilla may be de-stroyed by the disease. The accompanying illustration is that of a child agedfive years, who had typhoid fever beginning June 8. OnJune 22, when fever had about run its course, the attend-ing physician noticed a swelling of the left cheek. OnJune 24 the skin over the cheek became glossy. On June26 the physician decided that an abscess had formed andmade an incision through the mucous membrane over themaxilla of the superior sulcus of the mouth, and, to hisgreat surprise, the knife passed directly into the bone,which was denuded. With a probe he found that almost 132 MOUTH LESIOXS- the entire external surface of this bone was denuded ofperiosteum. June 30, the epidermis of the cheek, aboutone and one-half by two and one-half inches, came off, leav-ing a glossy discolored derma vera, which was evidence tohim that gangrene had begun. At this time a diagnosis ofcancrum oris was made and the patient removed to thehospital July 1. The history of the case from this time. Fig. 20.—Cancrum Oris. on was that of progression, the gangrene rapidly extendinginto new iields in every direction, so that at the time ofdeath, July 10, the outer angle of the mouth and the leftanterior naris were included; the entire maxilla was de-stroyed, since the entire surface was bare as well as theroof of the mouth on the left side. Prognosis. —The prognosis is grave, and it is only whenthe disease is limited within itself that recovery takes of the cases terminate fatally in from four SYAIPTOMATIC MOUTH LESIONS 133 to six days. When the line of demarcation is early estab-lished the slough comes away, repair is very slow, requiringmany weeks for granulation and cicatrization, and an ob-jectionable cicatrix or perforation or other deformity isthe legacy. Treatment.—The treatment consists in cleanliness, at-tention to diet, stimulation and nutrition. The sloughshould be
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
