British medical journal . irrigations of thesinus and of the sul)perio8teal cavity over the left frontal bone,the discharge of pus remained very profuse; the patient was notmaking headwav, her sleep was not restful, and she was losingflesh. Her husband was summoned from France and the pros andcons of an extensive operation for removal of tlie affected regionof the frontal bone laid before him. He assented to this propo-sition, which was shared by Dr. Lack and October 23rd. A median incision was made in the foreheadfrom the line of the hair to the inner end of the original incisionin t
British medical journal . irrigations of thesinus and of the sul)perio8teal cavity over the left frontal bone,the discharge of pus remained very profuse; the patient was notmaking headwav, her sleep was not restful, and she was losingflesh. Her husband was summoned from France and the pros andcons of an extensive operation for removal of tlie affected regionof the frontal bone laid before him. He assented to this propo-sition, which was shared by Dr. Lack and October 23rd. A median incision was made in the foreheadfrom the line of the hair to the inner end of the original incisionin the eyebrow and a transverse incision from the upjicr end ofithe first and beyond the liair line to the temporal region. Ihescalp was turned outwards, and revealed a sail state of affairs.*The whole of the lelt frontal bone presented an inflamed andpartially necrosed condition. Loose portions of bone were • The nature of the lesion can best be illustrated by reference totbe iUuEtratiou of a more estensire and fatal Fig. 1.—OKteomyelitis of skull resulting from septiciulection of the diploe after operatiou on the frontalsinus. The patient died after nine mouths of suffeiini,,and after nninevous operations for the removal otabscesses in dilferent regions of the body, a, Sequestra:b. longitudinal sinus; c, left frontal sinus (anteriorwall removed). Tins was the first recorded ease inwbich the sequence of osteomyelitis as a complicationof nasal sinus suppiiralion was detected uide HuitishMedical Joojinal, 1889). Surgeons interested iu thesubject are advised to read Dr. Dan McKenzies mono-graph on the subject (Joiim. LaryngolOBv. vol. xxviii,1913). removed, and iu two places the adherent and inflamed duramater came away witli the bone, together with subjacent cor-tical substance of the brain. As much of the inliltraled andnecrosed bone was removed as seemed advisable. .\ curved andmulti-perforated drainage tube was placed around the bordersof the bono wound ami tlie scalp
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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185
