Annals of surgery . e noted that Wolffs anatomical investigations andthe facts brought forth are concurred in by the five objectorsmentioned; they differ from him chiefly in the matter of interpre-tation. For ourselves, after careful study of this subject since theappearance of Wolffs book, in 1892, we cannot help agreeing withthe verdict of Konig (Centralblatt fiir Chirnrgie, No. 10, 1897)that with this paper the doctrine of the functional pathogenesisof deformities has grown from an hypothesis to a theory wellproved and impregnable. Albert H. Freiberg. INDEX TO SURGICAL PROGRESS. HEAD AND NE
Annals of surgery . e noted that Wolffs anatomical investigations andthe facts brought forth are concurred in by the five objectorsmentioned; they differ from him chiefly in the matter of interpre-tation. For ourselves, after careful study of this subject since theappearance of Wolffs book, in 1892, we cannot help agreeing withthe verdict of Konig (Centralblatt fiir Chirnrgie, No. 10, 1897)that with this paper the doctrine of the functional pathogenesisof deformities has grown from an hypothesis to a theory wellproved and impregnable. Albert H. Freiberg. INDEX TO SURGICAL PROGRESS. HEAD AND Restoration of Lower Lip after Excision for Cancer. By Charles N. Dowd (New York). The author describes amodification of the method of Malgaigne, by means of which theindications of a more radical removal of glandular infection arelikewise met. Objection may be made to the original methodof Malgaigne that the incisions do not expose the submaxillaryspaces in which diseased lymph-nodes often exist, and that un-. Illustrating Dowds method of restoration of lower lipafter excision for cancer. necessary deformity results from the prominent position of thescars and the stretching of the narrow flaps. These objectionsthe author obviates by carrying the lower incisions beneath thebody of the jaw, extending them from the tip of the chin nearlyback to the angle of the jaw, as shown in the accompanying illus-tration. Through these incisions the submaxillary spaces can be 147 148 SURGICAL PROGRESS. thoroughly cleaned out. The salivary glands, if adherent to thecancerous nodes, can also be removed without producing any per-ceptible interference with the production of saliva. For the re-moval of the primary growth, the incisions should be made fromone-half to three-quarters inch outside its margin, convergingbelow, as shown in the figure. As much tissue as possible shouldbe left in the prominence of the chin. The horizontal incisionsfrom the angles of the mouth should be carried backw
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
